Individual
DR. ANNETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
205 E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-2750
Mailing address
205 E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-2750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022584
GA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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