IndividualActive
Amanda Jackson, PHARMD
NPI 1699292227 · Pharmacist · Pelahatchie, MS
Provider details
- NPI number
- 1699292227
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- E-13062 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
404 Second Street
Pelahatchie, MS 39145
Phone: (601) 854-7133
Approximate (ZIP-level) locationGet directions
Mailing address
404 Second St
Pelahatchie, MS 39145-3140
Registry dates
- Enumerated
- 2017-08-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.