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Individual

QUENITRA Q JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2715 DAWSON RD, ALBANY, GA 31707-1673
(229) 606-6508
Mailing address
80 DOGWOOD ST, CAMILLA, GA 31730-5373

Taxonomy

Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
RPH035962
GA

Other

Enumeration date
12/16/2025
Last updated
12/16/2025
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