Andra Nicole Jackson, PHARMD

NPI #1891662854 in Lilburn, Georgia

Provider Information

NPI Number: 1891662854
Entity Type: Individual
Name: Andra Nicole Jackson, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 22, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 4860 STONE MOUNTAIN HWY
City: Lilburn
State: Georgia
ZIP Code: 30047-4618
Phone: (770) 972-2846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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