Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NICK JACKSON JR., RPH
ActiveMR. NICK JACKSON JR., RPH is a Pharmacist healthcare provider located in PESHTIGO, Wisconsin. NPI 1477806131 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PESHTIGO, WI
Registration Details
- NPI Number
- 1477806131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2012 (13.805179219331 yrs)
- Last Updated
- Oct 18, 2012
- Licenses
-
1085340 (WI)5302021431 (MI)
Practice Information
- Address
-
N3108 SCHACHT RD.PESHTIGO, WI, 54157Browse WI providers · Browse ZIP 54157
- Phone
- 7155822171
- Fax
- 9208349801
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in PESHTIGO, WI
| Name | Credential | NPI |
|---|---|---|
| MR. MICHEAL S SCOTT | R.PH. | 1316386782 |
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.