Jackman, Denise Joann

Jackman, Denise Joann is an individual health care provider with primary practice located at 1410 W 27Th Ave , Kennewick WA 99337-3701. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackman, Denise Joann can be contacted via phone (509) 585-0846.

Contact Information

Primary practice address
1410 W 27Th Ave Kennewick WA 99337-3701
Fax: (509) 585-0847
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00010508 Washington

Profile Details

NPI number 1831280551
LBN Legal business name Jackman, Denise Joann
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831280551 NPPES
Washington Other PH00010508 PHARMACY LICENSE

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