IndividualActive
Alisha Nicks, PHARMD
NPI 1750987160 · Pharmacist · Jackson, MS
Provider details
- NPI number
- 1750987160
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- E-16609 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 364-1309
Approximate (ZIP-level) locationGet directions
Mailing address
2514 Concord Blvd
Brandon, MS 39047-8537
Registry dates
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.