Amanda Jackson, PharmD
Pharmacist in Waukegan, IL. Individual provider (NPI-1).
NPI number1669926804
StatusActive
Last updated in NPPESNov 28, 2020
Details
- NPI
- 1669926804
- Entity type
- Individual (NPI-1)
- Name
- Amanda Jackson
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2016
- Certification date
- Nov 28, 2020
- Last updated
- Nov 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 24803 | NC | Yes |
| 183500000X | Pharmacist | 051297625 | IL |
Practice location
3001 Washington StWaukegan, IL 60085-4843
Phone 847-406-2261
Mailing address
3001 Washington StWaukegan, IL 60085-4843
Phone 847-406-2261
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