Jackson, Mary Lynne
Jackson, Mary Lynne is an sole proprietor health care provider with primary practice located at 855 N Commercial Ave , Saint Clair MO 63077-1118. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Mary Lynne can be contacted via phone (636) 629-0710.Contact Information
Primary practice address
855 N Commercial Ave
Saint Clair MO 63077-1118
Phone: (636) 629-0710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 40140 | Illinois |
Profile Details
| NPI number | 1932747680 |
|---|---|
| LBN Legal business name | Jackson, Mary Lynne |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2019 |
| Last updated | Dec 12th, 2019 - about 7 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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