Individual provider · Type 1 NPI

Jackleen Fan

Pharmacist · Evans, GA

NPI number 1407337306 Active

Practice location

4310 Washington Rd
Evans, GA 30809-3957

Mailing address

372 Collins Glen Ct
Lawrenceville, GA 30043-6848

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH030830 (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…

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About NPI 1407337306

Jackleen Fan's National Provider Identifier is 1407337306, issued on Aug 28, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Evans, GA. The record was last updated on Aug 28, 2018.