Dr Archibald J Jackson Ii, PHARMD in Rancho Belago, CA - Pharmacist

Dr Archibald J Jackson Ii, PHARMD is a Pharmacist based in Rancho Belago, California. Dr Archibald J Jackson Ii is licensed to practice in Florida (license number 17147) and his current practice location is 26492 Clydesdale Ln, Rancho Belago, California. He can be reached at his office (for appointments etc.) via phone at (714) 926-2292.

NPI number for Dr Archibald J Jackson Ii is 1003998105 and his current mailing address is 26492 Clydesdale Ln, Rancho Belago, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003998105.

Contact Information

	Dr Archibald J Jackson Ii, PHARMD
	26492 Clydesdale Ln, Rancho Belago, CA 92555-3331
	(714) 926-2292
	Not Available

Healthcare Provider's Profile

Full Name	Dr Archibald J Jackson Ii
Gender	Male
Speciality	Pharmacist
Location	26492 Clydesdale Ln, Rancho Belago, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003998105
Provider Enumeration Date: 10/19/2006
Last Update Date: 12/30/2009

Medical Identifiers

Medical identifiers for Dr Archibald J Jackson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003998105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1835P1200X	Pharmacist - Pharmacotherapy	17147 (Florida)	Secondary
1835P0018X	Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist	17147 (Florida)	Secondary
183500000X	Pharmacist	17147 (Florida)	Primary
1835N1003X	Pharmacist - Nutrition Support	17147 (Florida)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Archibald J Jackson Ii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Archibald J Jackson Ii, PHARMD 26492 Clydesdale Ln, Rancho Belago, CA 92555-3331 Ph: (714) 926-2292	Dr Archibald J Jackson Ii, PHARMD 26492 Clydesdale Ln, Rancho Belago, CA 92555-3331 Ph: (714) 926-2292

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Dr Archibald J Jackson Ii, PHARMD - Pharmacist in Rancho Belago, CA