Individual provider · Type 1 NPI

Jarryd A. Jackson, PharmD

Pharmacist · Fayetteville, GA

NPI number 1104190990 Active

Practice location

1265 Highway 54 W, Suite #201
Fayetteville, GA 30214-4548

Call (678) 435-3046 Map

Mailing address

180 Jackson St NE, Unit #3412
Atlanta, GA 30312-1303

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH024513 (GA)
Pharmacist 183500000XPS42485 (FL)
Pharmacist 183500000X46840 (TX)

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…

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About NPI 1104190990

Jarryd A. Jackson, PharmD's National Provider Identifier is 1104190990, issued on Feb 27, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 27, 2012.