Jackson, Brad F

Jackson, Brad F is an individual health care provider with primary practice located at 3346 Morgan Dr , Birmingham AL 35216-3052. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Brad F can be contacted via phone (205) 822-5200.

Contact Information

Primary practice address
3346 Morgan Dr Birmingham AL 35216-3052
Phone: (205) 822-5200
Fax: (205) 979-3666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13691 Alabama

Profile Details

NPI number 1972508729
LBN Legal business name Jackson, Brad F
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1972508729 NPPES
Alabama Other 13691 STATE PHARMACY LICENSE

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