Individual provider · Type 1 NPI

Andrea Tiggler Jackson, RPH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Decatur, GA

NPI number 1104854603 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Call (404) 321-6111 Map

Fax (404) 728-4707

Mailing address

8270 Knollbrook Ln
Mcdonough, GA 30253-8513

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X9162 (SC)
Pharmacist 183500000X19463 (GA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XRPH19463 (GA)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1104854603

Andrea Tiggler Jackson, RPH's National Provider Identifier is 1104854603, issued on Jun 30, 2006. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Decatur, GA. The record was last updated on Dec 27, 2012.