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1417957895
LONNIE L JACKSON
HOUSTON, TX
NPI
1417957895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 19513)
Enumeration Date
2005-07-28
Last Update Date
2012-10-30
Business Address
Mr. LONNIE L JACKSON
2015 THOMAS ST
HOUSTON, TX 77009-8044
Phone number: 713-873-4014
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Mailing Address
Mr. LONNIE L JACKSON
8414 GLENCROSS ST
HOUSTON, TX 77061-2314
Phone number: 713-204-7443
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