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Jenica Jackson, PHARMD

NPI 1871725648 · on the registry since 2009 · sole proprietor

Practice

Address
3101 N 11th St
Bismarck, ND 58503
Phone
(701) 224-9521
Fax
(701) 224-1360
Organisation at this address
Gateway Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-12

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 North Dakota