Individual provider · Type 1 NPI

Paula Jo Jackson, RPH

Pharmacist · Socorro, NM

NPI number 1447581400 Active

Practice location

1202 Highway 60
Socorro, NM 87801-3914

Fax (575) 835-8345

Mailing address

107 Stallion Cir
Socorro, NM 87801-4453

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X4257 (NM)

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 1447581400

Paula Jo Jackson, RPH's National Provider Identifier is 1447581400, issued on Jan 14, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Socorro, NM. The record was last updated on Jan 14, 2010.