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Nicholas Dwayne Jackson, PHARMD
Pharmacist in Coeburn, Virginia
NPI 1528670916

Nicholas Dwayne Jackson is a Pharmacist based in Coeburn, VA. Nicholas Dwayne Jackson practices in Coeburn, VA and has the professional credentials of PHARMD. The NPI Number for Nicholas Dwayne Jackson is 1528670916 and holds a License No. 0202208432 (Virginia).

The current practice location address for Nicholas Dwayne Jackson is 201 Laurel Ave, Coeburn, VA and can be reached out via phone at 276-807-7106 and via fax at 276-807-7341.

Location: 201 Laurel Ave, Coeburn, VA, 24230-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528670916
Provider Name
Nicholas Dwayne Jackson
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
201 Laurel Ave, Coeburn, VA, 24230-1439
Phone Number
276-807-7106
Fax Number
276-807-7341
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Laurel Ave
City
Coeburn
State
Virginia
Zip
24293
Phone Number
276-807-7106
Fax Number
276-807-7341
person
Provider Business Mailing Address Details
Address
201 Laurel Ave
City
Coeburn
State
Virginia
Zip
24293
Phone Number
276-807-7106
Fax Number
276-807-7341
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
0202208432 (Virginia)
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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