Individual provider · Type 1 NPI

Milissa Jackson, D.PH.

Pharmacist · Memphis, TN

NPI number 1306115639 Active

Practice location

1863 Union Ave
Memphis, TN 38104-4028

Call (901) 272-2006 Map

Mailing address

7830 Greenwich Dr W
Southaven, MS 38672-8407

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0000010138 (TN)
Pharmacist 183500000XT-09517 (MS)

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 1306115639

Milissa Jackson, D.PH.'s National Provider Identifier is 1306115639, issued on Dec 15, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Memphis, TN. The record was last updated on Dec 15, 2011.