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Mr. Nick Jackson JR., RPH
Pharmacist in Peshtigo, Wisconsin
NPI 1477806131

Nick Jackson JR. is a Pharmacist based in Peshtigo, WI. Nick Jackson JR. practices in Peshtigo, WI and has the professional credentials of RPH. The NPI Number for Nick Jackson JR. is 1477806131 and holds a License No. 1085340 (Wisconsin).

The current practice location address for Nick Jackson JR. is N3108 Schacht Rd., Peshtigo, WI and can be reached out via phone at 715-582-2171 and via fax at 920-834-9801.

Location: N3108 Schacht Rd., Peshtigo, WI, 54157-9606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477806131
Provider Name
Nick Jackson JR.
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
N3108 Schacht Rd., Peshtigo, WI, 54157-9606
Phone Number
715-582-2171
Fax Number
920-834-9801
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982922860 05 WI
institution
Provider Business Practice Location Address Details
Address
N3108 Schacht Rd.
City
Peshtigo
State
Wisconsin
Zip
54157
Phone Number
715-582-2171
Fax Number
920-834-9801
person
Provider Business Mailing Address Details
Address
N3108 Schacht Rd.
City
Peshtigo
State
Wisconsin
Zip
54157
Phone Number
715-582-2171
Fax Number
920-834-9801
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
1085340 (Wisconsin)
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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