IndividualActive
Alyssa Jackson
NPI 1295506186 · Pharmacy Technician · Ferguson, MO
Provider details
- NPI number
- 1295506186
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2021004266 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
190 N Florissant Rd
Ferguson, MO 63135-1942
Phone: (314) 521-4518
Approximate (ZIP-level) locationGet directions
Mailing address
190 N Florissant Rd
Ferguson, MO 63135-1942
Registry dates
- Enumerated
- 2024-01-10
- Last updated
- 2024-01-10
- Certified
- 2024-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.