MEDICARE: DR. BOBBIE SUE 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
1	183500000X	Pharmacist	018346	LA

General Provider Information

NPI Number	:	1750680955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOBBIE SUE JACKSON PHARMD

Provider Business Mailing Address
First Line	:	19910 STONEHILL DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-7673
Country	:	US
Telephone Number	:	225-664-5099
Fax Number	:

Provider Business Practice Location Address
First Line	:	2308 S RANGE AVE
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-5216
Country	:	US
Telephone Number	:	225-664-5099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2011
Last Update Date	:	03/28/2011

Similar Medicare Providers

1073530762 — PHYSICIAN'S CHOICE PHYSICAL THERAPY, INC
Practice Location Address:

2346 S RANGE AVE
DENHAM SPRINGS, LA
70726-5216

Practice Phone: 225-665-8080
Practice Fax: 225-665-0999

1265546014 — DR. GORDON H CLARK MD
Practice Location Address:

2314 S RANGE AVE
DENHAM SPRINGS, LA
70726-5216

Practice Phone: 225-480-4080
Practice Fax: 877-485-4275

1033365168 — STACEY L STEVISON OT
Practice Location Address:

2346 S RANGE AVE
DENHAM SPRINGS, LA
70726-5216

Practice Phone: 225-665-8080
Practice Fax: 225-665-0999

1366699316 — DERRICK A. TOWNSEND O.T.
Practice Location Address:

2346 S RANGE AVE
DENHAM SPRINGS, LA
70726-5216

Practice Phone: 225-665-8080
Practice Fax: 225-665-0999

1508013459 — AUDREY A BRUNSON P.T.
Practice Location Address:

2346 S RANGE AVE
DENHAM SPRINGS, LA
70726-5216

Practice Phone: 225-665-8080
Practice Fax: 225-665-0999

1760777866 — DIGITAL IMAGING SOLUTIONS, LLC
Practice Location Address:

2340 S RANGE AVE
DENHAM SPRINGS, LA
70726-5216

Practice Phone: 225-665-6202
Practice Fax: 225-490-4994

Directions to “ DR. BOBBIE SUE JACKSON PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.