Individual
KAILANI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
135 RUTLEDGE AVE RM 106, CHARLESTON, SC 29425-8903
(843) 876-0199
Mailing address
201 PINE HALL DR, GOOSE CREEK, SC 29445-9655
(843) 367-7995
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
60712
SC
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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