Individual provider · Type 1 NPI

Laura Ashlyn Broome Jackson, PharmD

Pharmacist · Portsmouth, VA

NPI number 1639699465 Active

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

209 Bennetts Grove Ln
Suffolk, VA 23435-3791

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X36149 (TN)
Pharmacist 183500000X0013225 (CT)
Pharmacist Primary 183500000X21072 (NC)

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 1639699465

Laura Ashlyn Broome Jackson, PharmD's National Provider Identifier is 1639699465, issued on Jun 22, 2017. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portsmouth, VA. The record was last updated on Oct 12, 2017.