Jackson, Steven L

Jackson, Steven L is an individual health care provider with primary practice located at 2256 W Nine Mile Rd , Pensacola FL 32534-9415. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Steven L can be contacted via phone (850) 478-4450.

Contact Information

Primary practice address
2256 W Nine Mile Rd Pensacola FL 32534-9415
Phone: (850) 478-4450
Fax: (850) 478-4842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS19736 Florida

Profile Details

NPI number 1912906736
LBN Legal business name Jackson, Steven L
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912906736 NPPES
Florida MEDICAID 101036100

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