Jackson, Edward Lawrence

Jackson, Edward Lawrence is an individual health care provider with primary practice located at Wamc Stop A 2817 Reilly Rd Mcxc Ph, Fort Bragg NC 28310-0001. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Jackson, Edward Lawrence can be contacted via phone (910) 907-8680.

Contact Information

Primary practice address
Wamc Stop A 2817 Reilly Rd Mcxc Ph Fort Bragg NC 28310-0001
Phone: (910) 907-8680
Fax: (910) 907-8443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 11096 North Carolina

Profile Details

NPI number 1285611707
LBN Legal business name Jackson, Edward Lawrence
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 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.

Request for update

Popular Providers