Individual
BREANNA RENEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 526-4647
Mailing address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 526-4888
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
023594
KY
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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