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Miss Lucille Jackson
Pharmacist in Jackson, Mississippi
NPI 1568542017

Lucille Jackson is a Pharmacist based in Jackson, MS. Lucille Jackson practices in Jackson, MS. The NPI Number for Lucille Jackson is 1568542017 and holds a License No. R07490 (Mississippi).

The current practice location address for Lucille Jackson is 3502 W Northside Dr, Jackson, MS and can be reached out via phone at 601-362-5321 and via fax at 601-364-5193.

Location: 3502 W Northside Dr, Jackson, MS, 39213-4454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568542017
Provider Name
Lucille Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3502 W Northside Dr, Jackson, MS, 39213-4454
Phone Number
601-362-5321
Fax Number
601-364-5193
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2518794 01 MS NABP
institution
Provider Business Practice Location Address Details
Address
3502 W Northside Dr
City
Jackson
State
Mississippi
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
601-364-5193
person
Provider Business Mailing Address Details
Address
3502 W Northside Dr
City
Jackson
State
Mississippi
Zip
39213-4454
Phone Number
601-362-5321
Fax Number
601-364-5193
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
R07490 (Mississippi)
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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