MRS. Lisa G Jackson, R.PH.

NPI #1023346871 in Austin, Texas

Provider Information

NPI Number
1023346871
Entity Type
Individual
Name
MRS. Lisa G Jackson, R.PH.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH.
Enumeration Date
Dec 4, 2009
Last Updated
Dec 4, 2009

Practice Location

Address
12550 METRIC BLVD
City
Austin
State
Texas
ZIP Code
78727-3502
Phone
(512) 835-4963

Specialties & Taxonomy Codes

Specialty
Pharmacist

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