Mr. Nick Jackson Jr.
Pharmacist
N3108 Schacht Rd., Peshtigo
Wisconsin, 54157
715-582-2171 920-834-9801
Mr. Nick Jackson Jr. is a pharmacist in Peshtigo, Wisconsin. Patients can reach him at N3108 Schacht Rd., Peshtigo or contact him on 715-582-2171. Active license number of Mr. Nick Jackson Jr. is 1085340 for Pharmacist in Wisconsin.
Mr. Nick Jackson Jr. is 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mr. Nick Jackson Jr. speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Nick Jackson Jr. |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | N3108 Schacht Rd., Peshtigo,
Wisconsin, 54157 |
| Phone: | 715-582-2171 |
| Fax: | 920-834-9801 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Nick Jackson Jr. are as mentioned below.
| NPI Number: | 1477806131 |
| NPI Enumeration Date: | 18 Oct, 2012 |
| NPI Last Update On: | 18 Oct, 2012 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Nick Jackson Jr. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 1085340 | Wisconsin | Primary | |
| Pharmacist | 5302021431 | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Nick Jackson Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1982922860 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | N3108 Schacht Rd,
Peshtigo, Wisconsin |
| Zip: | 54157-9606 |
| Phone Number: | 715-582-2171 |
| Fax Number: | 920-834-9801 |
Patients can reach Mr. Nick Jackson Jr. at
N3108 Schacht Rd., Peshtigo, Wisconsin or can
call on phone at 715-582-2171.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.