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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JARRYD A JACKSON, PHARMD

Active Sole Proprietor

DR. JARRYD A JACKSON, PHARMD is a Pharmacist healthcare provider located in FAYETTEVILLE, Georgia. NPI 1104190990 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · FAYETTEVILLE, GA

Registration Details

NPI Number
1104190990
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2012 (14.460007295413 yrs)
Last Updated
Feb 27, 2012
Licenses
RPH024513 (GA)
PS42485 (FL)
46840 (TX)
Sole Proprietor
Yes

Practice Information

Address
1265 HIGHWAY 54 W
SUITE #201
FAYETTEVILLE, GA, 302144548
Browse GA providers · Browse ZIP 30214
Phone
6784353046
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in FAYETTEVILLE, GA

Name Credential NPI
MRS. MELISSA M STEPHENS R.PH. 1790983153
DR. ROBYN LEIGH MCCARRY 1497914659
DR. JOSEPH LEROY REDLEY PHARM. D. MPH, MS 1710295852
MR. DAVID PARKER PENDERGRAST RPH 1760789150
MR. ALBERT G LUNCEFORD RPH 1720386774
CHRISTIAN EZEAGWU 1023317583
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.