AMANDA JACKSON

WAUKEGAN, IL
NPI1669926804
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  24803)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051297625)
Enumeration Date2016-08-04
Last Update Date2020-11-28
Business Address
AMANDA JACKSON PharmD
3001 WASHINGTON ST
WAUKEGAN, IL 60085-4843
Phone number: 847-406-2261
Mailing Address
AMANDA JACKSON PharmD
3001 WASHINGTON ST
WAUKEGAN, IL 60085-4843
Phone number: 847-406-2261