Individual provider · Type 1 NPI
Andra Nicole Jackson, PharmD
Pharmacist · Lilburn, GA
Practice location
4860 Stone Mountain Hwy
Lilburn, GA 30047-4618
Mailing address
3222 Chadwick Ct
Conyers, GA 30013-6485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | RPH035880 (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…
3 other providers at this address
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About NPI 1891662854
Andra Nicole Jackson, PharmD's National Provider Identifier is 1891662854, issued on Oct 22, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lilburn, GA. The record was last updated on Oct 22, 2025.