NPI 1548803711

Renice Rebecca Jackson

Practitioner Pharmacy Technician Shreveport, LA

Practice location

Address: 3341 Youree Dr STE 205, Shreveport, LA 71105-2149
Phone: (318) 219-4167

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 009189 (LA)

Other Pharmacy Technician providers in Louisiana →

Registry record

NPI: 1548803711
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2019
Record last updated: 21 Oct 2019

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.