Jackson, Thomas K
Jackson, Thomas K is an individual health care provider with primary practice located at 1710 Route 112 , Coram NY 11727-2270. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Thomas K can be contacted via phone (646) 580-1696.Contact Information
Primary practice address
1710 Route 112
Coram NY 11727-2270
Phone: (646) 580-1696
Fax: (631) 476-5365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 068486 | New York |
Profile Details
| NPI number | 1881302115 |
|---|---|
| LBN Legal business name | Jackson, Thomas K |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2022 |
| Last updated | Nov 7th, 2022 - about 3 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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