Individual
ALEXIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
6535 GRAYSON RD, HARRISBURG, PA 17111-5150
(479) 212-4185
Mailing address
362 CARLSON RD, HUMMELSTOWN, PA 17036-9484
(479) 212-4185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441774
PA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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