Individual provider · Type 1 NPI

Mattie Jackson

Pharmacist · Baxley, GA

NPI number 1669076345 Active

Practice location

650 Manning Williams Rd
Baxley, GA 31513-7431

Mailing address

19 E Parker St
Baxley, GA 31513-0056

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH014330 (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 1669076345

Mattie Jackson's National Provider Identifier is 1669076345, issued on Nov 24, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Baxley, GA. The record was last updated on Nov 24, 2020.