Medical Center Pharmacy

LBN: Jerome D. Jackson
Medical Center Pharmacy is an health care organization with primary practice located at 1867 Airport Way Suite 105, Fairbanks AK 99701-4007. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jerome D. Jackson can be contacted via phone (907) 452-2328, or through Jackson, Jerome D via phone (907) 452-2328.

Contact Information

Primary practice address
1867 Airport Way Suite 105 Fairbanks AK 99701-4007
Phone: (907) 452-2328
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jerome D
Phone: (907) 452-2328

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 312 Alaska

Profile Details

NPI number 1376661934
LBN Legal business name Jerome D. Jackson
DBA Doing business as Medical Center Pharmacy
Authorized official Jackson, Jerome D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Sep 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376661934 NPPES
Alaska Other 0200624 NABP NUMBER
Alaska MEDICAID MSO268 NABP NUMBER
Alaska MEDICAID PHO268 NABP NUMBER

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