CODY JAMES JACKSON

PORTAGE, IN
NPI1225639297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IN  26027744A)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
Dr. CODY JAMES JACKSON PharmD
6087 US HIGHWAY 6
PORTAGE, IN 46368-5046
Phone number: 219-759-5811
Mailing Address
Dr. CODY JAMES JACKSON PharmD
314 TIMI DR
VALPARAISO, IN 46385-8504
Phone number: 219-742-4663