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William Jackson, RPH
NPI 1275810038 · on the registry since 2011 · sole proprietor
Practice
- Address
- 105 Buffalo Way
Jackson, WY 83001 - Phone
- (307) 733-9222
- Fax
- (307) 734-4481
- Organisation at this address
- Albertsons Llc
1918 Winter Street Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming