Individual provider · Type 1 NPI

Stephen Jackson

Pharmacist · Bentonville, AR

NPI number 1124690680 Active

Practice location

3500 SE Club Blvd
Bentonville, AR 72712-5182

Call (479) 621-0283 Map

Mailing address

400 S Dodson Rd
Rogers, AR 72758-5112

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPD15834 (AR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124690680

Stephen Jackson's National Provider Identifier is 1124690680, issued on Jul 14, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bentonville, AR. The record was last updated on Jul 14, 2021.