IndividualActive
Anna Wodlinger Jackson, PHARMD
NPI 1013124379 · Pharmacotherapy Pharmacist · Philadelphia, PA
Provider details
- NPI number
- 1013124379
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RP045225L (PA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3307 N Broad St
Philadelphia, PA 19140-5101
Phone: (215) 707-3987
Approximate (ZIP-level) locationGet directions
Mailing address
501 Lantern Ln
Philadelphia, PA 19128-1054
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.