Individual provider · Type 1 NPI
Marissa Noelle Jackson, PharmD
Pharmacist · Dpo, AA
Practice location
Moody Airforce Base, Bemiss Road
Dpo, AA 31699
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 62552 (FL) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
About NPI 1023757192
Marissa Noelle Jackson, PharmD's National Provider Identifier is 1023757192, issued on May 27, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Dpo, AA. The record was last updated on Jul 5, 2022.