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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ARCHIBALD J JACKSON II, PHARMD

Active

DR. ARCHIBALD J JACKSON II, PHARMD is a Pharmacist healthcare provider located in RANCHO BELAGO, California. NPI 1003998105 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · RANCHO BELAGO, CA

Registration Details

NPI Number
1003998105
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2006 (19.799794366275 yrs)
Last Updated
Dec 30, 2009
Licenses
17147 (FL)
17147 (FL)
17147 (FL)
17147 (FL)

Practice Information

Address
26492 CLYDESDALE LN
RANCHO BELAGO, CA, 925553331
Browse CA providers · Browse ZIP 92555
Phone
7149262292
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist Clinician (PhC)
Additional Specialty
Pharmacist
Additional Specialty
Nutrition Support Pharmacist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.