Mr. Jackie Ross Simmons
Mr. Jackie Ross Simmons is a Pharmacist in Taos, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
622 Paseo Del Pueblo Sur Ste A 5401 NdcbuTaos, NM 87571-5101
Phone: (505) 758-3342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 6447 (NM) |
|---|
Record details
| NPI number | 1295944072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 26058 Taos Canyon, Hwy 64, Hc 71 Box 77, Taos, NM 87571-9501 |
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