Individual
DR. BRAD F JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3346 MORGAN DR, BIRMINGHAM, AL 35216-3052
(205) 822-5200
(205) 979-3666
Mailing address
1953 CAHABA CREST DR, BIRMINGHAM, AL 35242-4412
(205) 437-0867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13691
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13691
STATE PHARMACY LICENSE
AL
Enumeration date
06/17/2005
Last updated
07/08/2007
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