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

ANDRA NICOLE JACKSON, PHARMD

Active Sole Proprietor

ANDRA NICOLE JACKSON, PHARMD is a Pharmacist healthcare provider located in LILBURN, Georgia. NPI 1891662854 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · LILBURN, GA

Registration Details

NPI Number
1891662854
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2025 (0.80514710226684 yrs)
Last Updated
Oct 22, 2025
License
RPH035880 (GA)
Sole Proprietor
Yes

Practice Information

Address
4860 STONE MOUNTAIN HWY
LILBURN, GA, 300474618
Browse GA providers · Browse ZIP 30047
Phone
7709722846
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in LILBURN, GA

Name Credential NPI
ANN ROSSER DAMON PHARMD 1174515944
TERRI PRATHER BYRD PHARM D 1417942319
MR. FREDERICK J. AUGELLO JR. RPH. 1568457364
JEAN HESSE CORBETT PHARM D 1891780532
WILLIAM W. SMITH PHARM.D. 1063403186
MRS. TRACY LYNN STROUD RPH 1366741431
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.