Kevin Jackson

NPI 1386280667 · on the registry since 2019

Practice

Address: 3405 50th St
Lubbock, TX 79413
Phone: (806) 791-0972
Organisation at this address: United Supermarkets Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-11-21

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 Texas