Individual
DR. MELISSA LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
130 ELM ST, LUDLOW, KY 41016-1494
(859) 261-2210
Mailing address
130 ELM ST # 1, LUDLOW, KY 41016-1494
(859) 261-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022091
KY
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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