Tylyn D'jera Jackson, PHARMD
NPI #1225584121 in Greenwell Springs, Louisiana
Provider Information
- NPI Number
- 1225584121
- Entity Type
- Individual
- Name
- Tylyn D'jera Jackson, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 30, 2016
- Last Updated
- Aug 30, 2016
Practice Location
- Address
- 17631 VILLA TRACE AVE
- State
- Louisiana
- ZIP Code
- 70739-4648
- Phone
- (225) 610-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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