MR. George Willie Jackson JR., RPH

NPI #1962006445 in Morrow, Georgia

Provider Information

NPI Number: 1962006445
Entity Type: Individual
Name: MR. George Willie Jackson JR., RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 25, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 6716 MOUNT ZION BOULEVARD
City: Morrow
State: Georgia
ZIP Code: 30260
Phone: (770) 960-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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