Search › Kentucky › 183500000X
Miranda Jackson, PHARM D
NPI 1306145867 · on the registry since 2011 · sole proprietor
Practice
- Address
- 711 Campbell Ln
Bowling Green, KY 42104 - Phone
- (270) 843-2383
- Fax
- (270) 783-8687
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- KY, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky