Jackson, Jerry W

Jackson, Jerry W is an sole proprietor health care provider with primary practice located at 801 Stadium Dr Suite # 111, Arlington TX 76011-6254. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Jerry W can be contacted via phone (817) 226-5050.

Contact Information

Primary practice address
801 Stadium Dr Suite # 111 Arlington TX 76011-6254
Phone: (817) 226-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19512 Texas

Profile Details

NPI number 1821261355
LBN Legal business name Jackson, Jerry W
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - 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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