Jackson, Anthony Shane

Jackson, Anthony Shane is an sole proprietor health care provider with primary practice located at 6001 Webb Rd , Tampa FL 33615-3241. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacotherapy is his primary health care specialty. Jackson, Anthony Shane can be contacted via phone (813) 329-6062.

Contact Information

Primary practice address
6001 Webb Rd Tampa FL 33615-3241
Phone: (813) 329-6062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS36016 Florida
Pharmacy Service Providers / Nutrition Support 1835N1003X PS36016 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS36016 Florida
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PS36016 Florida

Profile Details

NPI number 1871768994
LBN Legal business name Jackson, Anthony Shane
Credentials PHARM.D., BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Feb 1st, 2021 - about 3 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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