Individual provider · Type 1 NPI

Jenna Nicole Edwards

Pharmacist · Douglasville, GA

NPI number 1104779917 Active

Practice location

6875 Douglas Blvd Ste B
Douglasville, GA 30135-7155

Mailing address

4356 Sublime Trl
Atlanta, GA 30349-8882

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH025731 (GA)

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…

Other pharmacist providers in Douglasville

See all in Douglasville →

About NPI 1104779917

Jenna Nicole Edwards's National Provider Identifier is 1104779917, issued on Feb 19, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Douglasville, GA. The record was last updated on Feb 19, 2026.