Individual provider · Type 1 NPI

Miranda Hulett Jackson, PHARM D

Pharmacist · Bowling Green, KY

NPI number 1306145867 Active

Practice location

711 Campbell Ln
Bowling Green, KY 42104-1040

Call (270) 843-2383 Map

Fax (270) 783-8687

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X014548 (KY)
Pharmacist 183500000X0000033743 (TN)

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 1306145867

Miranda Hulett Jackson, PHARM D's National Provider Identifier is 1306145867, issued on Mar 23, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bowling Green, KY. The record was last updated on Mar 23, 2011.