NPI 1023757192

Marissa Noelle Jackson, PHARMD

Practitioner Pharmacist Dpo, AA

Practice location

Address: Moody Airforce Base Bemiss Road, Dpo, AA 31699
Phone: (229) 257-4211
Mailing address: 3278 Mitchell Blvd, Moody Afb, GA 31699-1500

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 62552 (FL)

Other Pharmacist providers in Armed Forces Americas →

Registry record

NPI: 1023757192
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2022
Record last updated: 5 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.