Individual provider · NPI-1

Cornelia Yvette Jackson

Pharmacy Technician · Greenville, SC

NPI number1356280515
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1356280515
Entity type
Individual (NPI-1)
Name
Cornelia Yvette Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2026
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician17499SCYes

Practice location

701 Grove Rd
Greenville, SC 29605-4210

Phone 864-455-8418 · Fax 864-522-1731

Mailing address

701 Grove Rd
Greenville, SC 29605-4210

Phone 864-455-8418 · Fax 864-522-1731

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