Jack, Ricky Edwin

Jack, Ricky Edwin is an sole proprietor health care provider with primary practice located at 2601 Thornton Ln , Temple TX 76502-1808. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jack, Ricky Edwin can be contacted via phone (254) 742-1100.

Contact Information

Primary practice address
2601 Thornton Ln Temple TX 76502-1808
Phone: (254) 742-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X TX23783 Texas

Profile Details

NPI number 1376697961
LBN Legal business name Jack, Ricky Edwin
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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