IndividualActive
Clarence Jackson
NPI 1487976288 · Pharmacist · Goodlettsville, TN
Provider details
- NPI number
- 1487976288
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1870 (TN)
Practice location
230 Long Hollow Pike
Goodlettsville, TN 37072-1880
Phone: (615) 859-3498
Fax: (615) 855-2112
Mailing address
230 Long Hollow Pike
Goodlettsville, TN 37072-1880
Registry dates
- Enumerated
- 2010-02-19
- Last updated
- 2010-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.