Individual provider · Type 1 NPI
Vandelle Dianne Jackson, PharmD
Pharmacist · Baltimore, MD
Practice location
5100 Sinclair Ln
Baltimore, MD 21206-5939
Fax (410) 483-0931
Mailing address
1913 Oak Hill Ave
Baltimore, MD 21218-6335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 15267 (MD) |
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 1922323294
Vandelle Dianne Jackson, PharmD's National Provider Identifier is 1922323294, issued on Mar 30, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 30, 2010.