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Dr. Jackson Allen Kicklighter, PHARMD,MHA,BCMTMS
Pharmacist in Petersburg, Virginia
NPI 1255948345

Jackson Allen Kicklighter is a Pharmacist based in Chester, VA. Jackson Allen Kicklighter practices in Petersburg, VA and has the professional credentials of PHARMD,MHA,BCMTMS. The NPI Number for Jackson Allen Kicklighter is 1255948345 and holds a License No. 29807 (Virginia).

The current practice location address for Jackson Allen Kicklighter is 20 W Bank St Ste 6, Petersburg, VA and can be reached out via phone at 804-835-5425.

Location: 20 W Bank St Ste 6, Petersburg, VA, 23831-1462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255948345
Provider Name
Jackson Allen Kicklighter
Credential
PHARMD,MHA,BCMTMS
Provider Entity Type
Individual
Gender
Male
Address
20 W Bank St Ste 6, Petersburg, VA, 23831-1462
Phone Number
804-835-5425
Fax Number
Provider Enumeration Date
09/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 W Bank St Ste 6
City
Petersburg
State
Virginia
Zip
23803-3279
Phone Number
804-835-5425
Fax Number
person
Provider Business Mailing Address Details
Address
20 W Bank St Ste 6
City
Petersburg
State
Virginia
Zip
23803-3279
Phone Number
804-835-5425
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
29807 (North Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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