DR. LACEY JACKSON, PHARMD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Active Individual

NPI: 1790098317

Practice Address

11815 FOUNTAIN WAY
ONE CITY CENTER SUITE 300
Newport News, VA 23606

Specialties

Specialty	Code	Primary	License
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X	Yes	0202207469 (VA)

Frequently Asked Questions

NPI 1790098317 is the National Provider Identifier for DR. LACEY JACKSON, PHARMD, a Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider located in Newport News, VA. This NPI was enumerated on July 24, 2010.

DR. LACEY JACKSON, PHARMD practices at 11815 FOUNTAIN WAY, ONE CITY CENTER SUITE 300, Newport News, VA 23606.

Quick Facts

NPI: 1790098317
Type: Individual
Enumerated: Jul 24, 2010
Last Updated: Jul 24, 2010

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