NPI 1295506186

Alyssa Simone Jackson

Practitioner Pharmacy Technician Ferguson, MO

Practice location

Address: 190 N Florissant Rd, Ferguson, MO 63135-1942
Phone: (314) 521-4518

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 2021004266 (MO)

Other Pharmacy Technician providers in Missouri →

Registry record

NPI: 1295506186
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2024
Record last updated: 10 Jan 2024

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.