Individual
CORNELIA YVETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-8418
(864) 522-1731
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-8418
(864) 522-1731
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
17499
SC
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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