Individual provider · Type 1 NPI
Ellen Gilbert Jackson, RPH
Pharmacist · La Fayette, GA
Practice location
324 Patton Street, Medithrift Pharmacy
La Fayette, GA 30728
Mailing address
480 N Ridge Dr
La Fayette, GA 30728-4737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 16389 (GA) |
| Pharmacist | 183500000X | 9672 (AL) |
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 1710013099
Ellen Gilbert Jackson, RPH's National Provider Identifier is 1710013099, issued on Feb 23, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in La Fayette, GA. The record was last updated on Jul 8, 2007.