Jackson, Jarryd A
Jackson, Jarryd A is an sole proprietor health care provider with primary practice located at 1265 Highway 54 W Suite #201, Fayetteville GA 30214-4548. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Jarryd A can be contacted via phone (678) 435-3046.Contact Information
Primary practice address
1265 Highway 54 W Suite #201
Fayetteville GA 30214-4548
Phone: (678) 435-3046
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH024513 | Georgia |
| Pharmacy Service Providers / Pharmacist | 183500000X | PS42485 | Florida |
| Pharmacy Service Providers / Pharmacist | 183500000X | 46840 | Texas |
Profile Details
| NPI number | 1104190990 |
|---|---|
| LBN Legal business name | Jackson, Jarryd A |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2012 |
| Last updated | Feb 27th, 2012 - about 14 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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