Individual
ALISA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2126 US HIGHWAY 79 S, HENDERSON, TX 75654-4406
(903) 655-7561
Mailing address
2126 US HIGHWAY 79 S, HENDERSON, TX 75654-4406
(903) 655-7561
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
76915
TX
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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