NPI 1003914417

Joel William Jackson, PHARMACIST

Practitioner Pharmacist Big Spring, TX

Practice location

Address: 300 W Veterans Blvd, Big Spring, TX 79720-5566
Phone: (432) 264-4836
Fax: (432) 264-4894
Mailing address: 2604 Coronado Ave, Big Spring, TX 79720-6520

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2092 (WY)

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Registry record

NPI: 1003914417
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.