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

DR. LACEY J JACKSON, PHARMD

Active Sole Proprietor

DR. LACEY J JACKSON, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in NEWPORT NEWS, Virginia. NPI 1790098317 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · NEWPORT NEWS, VA

Registration Details

NPI Number
1790098317
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2010 (16.085160478735 yrs)
Last Updated
Jul 24, 2010
License
0202207469 (VA)
Sole Proprietor
Yes

Practice Information

Address
11815 FOUNTAIN WAY
ONE CITY CENTER SUITE 300
NEWPORT NEWS, VA, 236064448
Browse VA providers · Browse ZIP 23606
Phone
7579265366
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in NEWPORT NEWS, VA

Name Credential NPI
DR. STEPHEN OLESKO PHARM.D. 1467765867
MS. PATRICIA B. RESTO BS PHARM, MPH 1093020588
JENNIFER PURDY PHARM.D. 1497024285
BARRY RUMBLE 1740604669
INGA MINTZ 1588172837
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.