Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK KENT JACKSON
Active Sole ProprietorMARK KENT JACKSON is a Pharmacist healthcare provider located in ATHENS, Alabama. NPI 1063620516 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · ATHENS, AL
Registration Details
- NPI Number
- 1063620516
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.199948428567 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11878 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 HWY 31 SOUTHSUITE DATHENS, AL, 35611Browse AL providers · Browse ZIP 35611
- Phone
- 2562328274
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in ATHENS, AL
| Name | Credential | NPI |
|---|---|---|
| MONIQUE D. CANNON | PHARM.D. | 1659441541 |
| DR. AMANDA ROSE SOUTH | PHARMD | 1912116419 |
| MR. WILLIAM PHILLIP HUMPHREY | RPH, CCP | 1972883908 |
| DR. PHILLIP C GLAZE | DPH | 1457631178 |
| DR. AMY CLAIRE NELSON | PHARM.D. | 1568744258 |
| JILL C DENNEY | PHARM.D. | 1629355656 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.