IndividualActive
Ecola Jackson, CPHT
NPI 1487094942 · Pharmacy Technician · Chicago, IL
Provider details
- NPI number
- 1487094942
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Female
- Sole proprietor
- No
- License
- 049.166756 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone: (773) 432-0100
Fax: (773) 432-0101
Approximate (ZIP-level) locationGet directions
Mailing address
5525 S Pulaski Rd
Chicago, IL 60629-4400
Registry dates
- Enumerated
- 2013-06-28
- Last updated
- 2013-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.