Jackman, Julie Ann

Jackman, Julie Ann is an individual health care provider with primary practice located at 9850 51St Ave N Ste 102 , Plymouth MN 55442-3271. She recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Psychiatric, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is her primary health care specialty. Jackman, Julie Ann can be contacted via phone (763) 251-6920.

Contact Information

Primary practice address
9850 51St Ave N Ste 102 Plymouth MN 55442-3271
Phone: (763) 251-6920
Fax: (763) 251-6928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 116805-1 Minnesota
Pharmacy Service Providers / Psychiatric 1835P1300X 4150621 Minnesota
Pharmacy Service Providers / Ambulatory Care 1835P2201X 6110123 Minnesota

Profile Details

NPI number 1184627804
LBN Legal business name Jackman, Julie Ann
Credentials PHARMD, BC-ACP, BCPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 1st, 2024 - about 9 months 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 1184627804 NPPES
Other 4150621 BOARD OF PHARMACY SPECIALTIES- BCPP
Other 6110123 BOARD OF PHARMACY SPECIALTIES- BCPP

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