Moon, Floyd Jackson

Moon, Floyd Jackson is an individual health care provider with primary practice located at 717 2Nd St W , Tifton GA 31794-4201. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Nutrition Support, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Moon, Floyd Jackson can be contacted via phone (229) 382-3711.

Contact Information

Primary practice address
717 2Nd St W Tifton GA 31794-4201
Phone: (229) 382-3711
Fax: (229) 387-7521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Nutrition Support 1835N1003X RPH029389 Georgia
Pharmacy Service Providers / Pharmacist 183500000X RPH029389 Georgia

Profile Details

NPI number 1235662263
LBN Legal business name Moon, Floyd Jackson
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Feb 28th, 2018 - about 6 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.

Request for update

Popular Providers