MARK KENT JACKSON

ATHENS, AL
NPI1063620516
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AL  11878)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- MARK KENT JACKSON
605 HWY 31 SOUTH SUITE D
ATHENS, AL 35611
Phone number: 256-232-8274
Mailing Address
-- MARK KENT JACKSON
18765 CYPRESS POINTE DRIVE
ATHENS, AL 35613
Phone number: 256-230-0673