Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark William Jackson

Individual provider Pharmacist · NPI 1538760632

Mark William Jackson is a Pharmacist in Brewton, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2020
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Practice location Address checks out

2578 Douglas Ave
Brewton, AL 36426-3552
Phone: (251) 867-5358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15392 (AL)

Record details

NPI number1538760632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address6050 Gillette Dr, Milton, FL 32570-8004

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