Jackson, Dennis Dale

Jackson, Dennis Dale is an individual health care provider with primary practice located at 200 Bergquist Dr Suite 1 , Jbsa Lackland TX 78233-9908. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Dennis Dale can be contacted via phone (210) 916-1536.

Contact Information

Primary practice address
200 Bergquist Dr Suite 1 Jbsa Lackland TX 78233-9908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PD09874 Arkansas

Profile Details

NPI number 1457810848
LBN Legal business name Jackson, Dennis Dale
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2019
Last updated Mar 31st, 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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