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Stephen Jackson
Pharmacist in Bentonville, Arkansas
NPI 1124690680

Stephen Jackson is a Pharmacist based in Rogers, AR. Stephen Jackson practices in Bentonville, AR. The NPI Number for Stephen Jackson is 1124690680 and holds a License No. PD15834 (Arkansas).

The current practice location address for Stephen Jackson is 3500 Se Club Blvd, Bentonville, AR and can be reached out via phone at 479-621-0283.

Location: 3500 Se Club Blvd, Bentonville, AR, 72758-5112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124690680
Provider Name
Stephen Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3500 Se Club Blvd, Bentonville, AR, 72758-5112
Phone Number
479-621-0283
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3500 Se Club Blvd
City
Bentonville
State
Arkansas
Zip
72712-5182
Phone Number
479-621-0283
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Se Club Blvd
City
Bentonville
State
Arkansas
Zip
72712-5182
Phone Number
479-621-0283
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PD15834 (Arkansas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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