Individual
DR. JARRYD A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE #201, FAYETTEVILLE, GA 30214-4548
(678) 435-3046
Mailing address
180 JACKSON ST NE, UNIT #3412, ATLANTA, GA 30312-1303
(404) 583-1379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
46840
TX
183500000X
Pharmacist
PS42485
FL
183500000X
Pharmacist
Primary
RPH024513
GA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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