Jackson, Melissa
Jackson, Melissa is an sole proprietor health care provider with primary practice located at 1350 S Main St Ste 1600 , Fort Worth TX 76104-7663. She recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care, Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Jackson, Melissa can be contacted via phone (817) 702-4663.Contact Information
Primary practice address
1350 S Main St Ste 1600
Fort Worth TX 76104-7663
Phone: (817) 702-4663
Fax: (817) 702-6924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 67006 | Texas |
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | 67006 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 67006 | Texas |
Profile Details
| NPI number | 1790280113 |
|---|---|
| LBN Legal business name | Jackson, Melissa |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2018 |
| Last updated | May 22nd, 2023 - about 3 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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