NPI 1245604081

Nicole Jackson

Practitioner Pharmacy Technician New Albany, IN

Practice location

Address: 1850 State St Pharmacy, New Albany, IN 47150-4990
Phone: (812) 948-7404

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 67004988A (IN)

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Registry record

NPI: 1245604081
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2015
Record last updated: 17 Nov 2015

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.