Individual provider · Type 1 NPI

Clarence Rhea Jackson

Pharmacist · Goodlettsville, TN

NPI number 1487976288 Active

Practice location

230 Long Hollow Pike
Goodlettsville, TN 37072-1880

Fax (615) 855-2112

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1870 (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 1487976288

Clarence Rhea Jackson's National Provider Identifier is 1487976288, issued on Feb 19, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Goodlettsville, TN. The record was last updated on Feb 19, 2010.