Jackson, Timothy

Jackson, Timothy is an individual health care provider with primary practice located at 34800 Bob Wilson Dr Fleet Liaison Bldg 2, San Diego CA 92134-1098. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Jackson, Timothy can be contacted via phone (619) 532-9512.

Contact Information

Primary practice address
34800 Bob Wilson Dr Fleet Liaison Bldg 2 San Diego CA 92134-1098
Phone: (619) 532-9512
Fax: (619) 532-6404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X

Profile Details

NPI number 1215099254
LBN Legal business name Jackson, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 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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