Individual provider · Type 1 NPI

Erin Doraine Jackson, PharmD, CDM

Pharmacist · Fruitland, ID

NPI number 1447448154 Active

Practice location

1620 N Whitley Dr
Fruitland, ID 83619-2129

Call (208) 452-7075 Map

Fax (208) 452-7446

Mailing address

1118 NW 16th St # 150
Fruitland, ID 83619-2271

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X16162 (NV)
Pharmacist 183500000X0011841 (OR)
Pharmacist 183500000X9031849-1701 (UT)
Pharmacist Primary 183500000XP5601 (ID)

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…

7 other providers at this address

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About NPI 1447448154

Erin Doraine Jackson, PharmD, CDM's National Provider Identifier is 1447448154, issued on Oct 9, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fruitland, ID. The record was last updated on Aug 25, 2020.