George Willie Jackson, RPH Valid NPI
Individual provider · Pharmacist · Morrow, GA
- NPI
- 1962006445
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH015360 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-11-25
- Last updated
- 2020-11-25
Practice location
6716 Mount Zion Boulevard
Morrow, GA 30260
(770) 960-0600