National Provider Identifier Database

ALYSSA S JACKSON
Pharmacy Technician

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.


Contact Information

ALYSSA S JACKSON
190 N FLORISSANT RD
FERGUSON, MO63135-1942
Phone: 314-521-4518
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy Technician 183700000X

* Indicates primary specialty

NPI Profile & details for ALYSSA S JACKSON

NPI Number 1295506186
Credentials
Entity Individual
Enumeration date 01/10/2024
Last updated 01/10/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2021004266
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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