MILISSA JACKSON

MEMPHIS, TN
NPI1306115639
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TN  0000010138)
Additional Taxonomies183500000X Pharmacist
(Licence: MS  T-09517)
Enumeration Date2011-12-15
Last Update Date2011-12-15
Business Address
-- MILISSA JACKSON D.Ph.
1863 UNION AVE
MEMPHIS, TN 38104-4028
Phone number: 901-272-2006
Mailing Address
-- MILISSA JACKSON D.Ph.
7830 GREENWICH DR W
SOUTHAVEN, MS 38672-8407
Phone number: 901-690-8900