Individual
ROBIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
5060 RAYMOND AVENUE, TUPELO, MS 38801-3880
(662) 810-7732
(662) 810-7738
Mailing address
PO BOX 1671, VERONA, MS 38879-1671
(662) 810-7732
(662) 810-7738
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
E-09982
MS
Other
Enumeration date
01/25/2017
Last updated
04/27/2020
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