IndividualActive
Andra Jackson, PHARMD
NPI 1891662854 · Pharmacist · Lilburn, GA
Provider details
- NPI number
- 1891662854
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- RPH035880 (GA)
Practice location
4860 Stone Mountain Hwy
Lilburn, GA 30047-4618
Phone: (770) 972-2846
Mailing address
3222 Chadwick Ct
Conyers, GA 30013-6485
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.