SUSAN JACKSON

SALT LAKE CITY, UT
NPI1538476601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  5798331-1701)
Enumeration Date2010-09-09
Last Update Date2010-09-09
Business Address
-- SUSAN JACKSON PharmD
5540 S 900 E
SALT LAKE CITY, UT 84117-7206
Phone number: 801-262-2981
Mailing Address
-- SUSAN JACKSON PharmD
1912 BLAINE AVE APT B
SALT LAKE CITY, UT 84108-2908
Phone number: 801-484-4063