Irvin Travis Jackson JR.

NPI 1184066631 - Pharmacist - 183500000X

NPI Details
NPI 1184066631
Gender Male
Enumeration Date 07/25/2013
Last Updated 07/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
4720 DOLLARWAY RD
PINE BLUFF AR, 71602-4126, US
Phone (870) 534-7876
Fax (870) 534-4677
Business Location
4720 DOLLARWAY RD
PINE BLUFF AR, 71602-4126, US
Phone (870) 534-7876
Fax (870) 534-4677
Toxanomy
Taxonomy Code 183500000X
License State Arkansas
License Number PD06427
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According to our database, Dr. Irvin Travis Jackson JR. NPI is 1184066631, taxonomy code is 183500000X and license number is PD06427, license state is located at Arkansas. Irvin Travis Jackson JR. physically located at 4720 Dollarway Rd, Pine Bluff AR, 71602-4126. NPI Number Irvin Travis Jackson JR. has the Individual type.

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1184066631 NPI number is provided on an as is basis without warranty of any kind. 1184066631 is maintained by the National Plan & Provider Enumeration System. The contents of Irvin Travis Jackson JR. are for informational purposes only.