Amanda Jackson, Pharm.D.
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lebanon, TN. Individual provider (NPI-1).
NPI number1669008397
StatusActive
Last updated in NPPESMar 13, 2020
Details
- NPI
- 1669008397
- Entity type
- Individual (NPI-1)
- Name
- Amanda Jackson
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2020
- Certification date
- Mar 13, 2020
- Last updated
- Mar 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 43278 | TN | Yes |
Practice location
1418a W Main St Ste ALebanon, TN 37087-3114
Phone 615-449-4653
Mailing address
1418a W Main St Ste ALebanon, TN 37087-3114
Phone 615-449-4653
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