Individual
ABIGAIL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2160 STATE ROUTE 9, LAKE GEORGE, NY 12845-6120
(518) 668-0043
(518) 668-0051
Mailing address
80 BROADWAY APT A, FORT EDWARD, NY 12828-1960
(518) 338-7230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I068742
NY
Other
Enumeration date
01/30/2022
Last updated
12/03/2025
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