Provider Demographics
NPI:1649866153
Name:LEDGER, JENNIFER ROWLAND (PHARMD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ROWLAND
Last Name:LEDGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E FORSYTH ST
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3721
Mailing Address - Country:US
Mailing Address - Phone:229-924-2783
Mailing Address - Fax:
Practice Address - Street 1:1001 E FORSYTH ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3721
Practice Address - Country:US
Practice Address - Phone:229-924-2783
Practice Address - Fax:229-924-9220
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA017994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist