Jackson, Cody Wayne
Jackson, Cody Wayne is an sole proprietor health care provider with primary practice located at 1193 N Main St , Marion VA 24354-4121. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Cody Wayne can be contacted via phone (276) 783-6656.Contact Information
Primary practice address
1193 N Main St
Marion VA 24354-4121
Phone: (276) 783-6656
Fax: (276) 783-6769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0202210763 | Virginia |
Profile Details
| NPI number | 1770185035 |
|---|---|
| LBN Legal business name | Jackson, Cody Wayne |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2020 |
| Last updated | Nov 12th, 2020 - 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.
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