Jackson, Regina Denise
Jackson, Regina Denise is an sole proprietor health care provider with primary practice located at 2220 Hewatt Rd , Snellville GA 30039-4021. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Regina Denise can be contacted via phone (770) 978-4157.Contact Information
Primary practice address
2220 Hewatt Rd
Snellville GA 30039-4021
Phone: (770) 978-4157
Fax: (770) 978-6563
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH020468 | Georgia |
Profile Details
NPI number | 1902188600 |
---|---|
LBN Legal business name | Jackson, Regina Denise |
Credentials | PHARM D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 19th, 2011 |
Last updated | Sep 19th, 2011 - about 14 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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