Ellen Gilbert Jackson, RPH

NPI #1710013099 in La Fayette, Georgia

Provider Information

NPI Number: 1710013099
Entity Type: Individual
Name: Ellen Gilbert Jackson, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 324 PATTON STREET
Address 2: MEDITHRIFT PHARMACY
City: La Fayette
State: Georgia
ZIP Code: 30728
Phone: (706) 638-3114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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