Jackson, Eric Allen

Jackson, Eric Allen is an individual health care provider with primary practice located at 99 Woodland St , Hartford CT 06105-1207. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Jackson, Eric Allen can be contacted via phone (860) 714-6533.

Contact Information

Primary practice address
99 Woodland St Hartford CT 06105-1207
Fax: (860) 714-8079
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 4920 Connecticut

Profile Details

NPI number 1366470262
LBN Legal business name Jackson, Eric Allen
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
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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