Individual
ASHLEY H JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 OAK ST, BOWDON, GA 30108-1412
(770) 258-2487
Mailing address
249 JACKSON RD, ROOPVILLE, GA 30170-2037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032902
GA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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