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NPI Code Detail

MEDICARE: MS. SHIRI R JACKSON PHARMD

MEDICARE:  MS. SHIRI R JACKSON  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202204673VA
2183500000XPharmacistA1-0004057DE
3183500000XPharmacistRP045364LPA
4183500000XPharmacist19998MD

General Provider Information

NPI Number : 1144347972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHIRI R JACKSON PHARMD
Provider Business Mailing Address
First Line : 125 E NORTH POINTE DR
Second Line :
City : SALISBURY
State : MD
Zip : 21804-2283
Country : US
Telephone Number : 410-572-8518
Fax Number : 410-202-3373
Provider Business Practice Location Address
First Line : 125 E NORTH POINTE DR
Second Line :
City : SALISBURY
State : MD
Zip : 21804-2283
Country : US
Telephone Number : 410-572-8518
Fax Number : 410-202-3373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2007
Last Update Date : 05/02/2024

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Directions to “ MS. SHIRI R JACKSON PHARMD” Practice Location

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