Nicholas Jackson

NPI 1487052031 · on the registry since 2014 · sole proprietor

Practice

Address: 941 Cherokee Dr Ste 1
Marshall, MO 65340
Phone: (660) 886-5558
Organisation at this address: Missouri Cvs Pharmacy, L.L.C.
Heartland Medical Equipment, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-15

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 Missouri