TRAVIS C JACKMAN

ST GEORGE, UT
NPI1144595968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  4911172-1701)
Enumeration Date2012-03-12
Last Update Date2020-12-17
Business Address
Dr. TRAVIS C JACKMAN Pharm D
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790-8720
Phone number: 435-656-2059
Mailing Address
Dr. TRAVIS C JACKMAN Pharm D
1508 BOYS POND CIR
SANTA CLARA, UT 84765-5736
Phone number:
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