Individual
DR. LYNETTE MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
224 HAMBURG TPKE, SJWH PHARMACY DEPARTMENT, WAYNE, NJ 07470-2111
(973) 956-3395
(973) 389-4015
Mailing address
325 PALISADE AVE, APT 3F, JERSEY CITY, NJ 07307-1714
(862) 571-2261
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI03309200
NJ
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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