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

MRS. ANDREA LYNN JACKSON, PHARM.D

Active Sole Proprietor

MRS. ANDREA LYNN JACKSON, PHARM.D is a Pharmacist Clinician (PhC) healthcare provider located in EL RENO, Oklahoma. NPI 1346491081 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · EL RENO, OK

Registration Details

NPI Number
1346491081
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2008 (17.896508569117 yrs)
Last Updated
Sep 30, 2008
License
14336 (OK)
Sole Proprietor
Yes

Practice Information

Address
1631 E US HIGHWAY 66
EL RENO, OK, 730365769
Browse OK providers · Browse ZIP 73036
Phone
4052627631
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
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.