IndividualActive
Jackson Justus, PHARMD
NPI 1609466689 · Pharmacist · Centerville, IA
Provider details
- NPI number
- 1609466689
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 0202217164 (VA)
Practice location
213 N 13th St
Centerville, IA 52544-1707
Phone: (641) 437-7200
Fax: (641) 437-7300
Mailing address
213 N 13th St
Centerville, IA 52544-1707
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.