DIANE M JACKSON

NPI: 1699813014 · Individual · Active

Primary Specialty

Pharmacist

Practice Location

11913 NE 195TH ST
BOTHELL, WA 98011-3147 Map ↗
Phone: 425-489-3100
Fax: 425-489-3119

All Specialties & Licenses

  • Pharmacist Primary (license: PH00010323, WA)

NPI Registration

Enumerated: 2007-02-01

Last CMS Update: 2007-07-08