ELLEN GILBERT JACKSON

LA FAYETTE, GA
NPI1710013099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  16389)
Additional Taxonomies183500000X Pharmacist
(Licence: AL  9672)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- ELLEN GILBERT JACKSON RPh
324 PATTON STREET MEDITHRIFT PHARMACY
LA FAYETTE, GA 30728
Phone number: 706-638-3114
Mailing Address
-- ELLEN GILBERT JACKSON RPh
480 N RIDGE DR
LA FAYETTE, GA 30728-4737
Phone number: 706-638-2981