Jackson, Renice Rebecca

Jackson, Renice Rebecca is an individual health care provider with primary practice located at 3341 Youree Dr Ste 205 , Shreveport LA 71105-2149. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Jackson, Renice Rebecca can be contacted via phone (318) 219-4167.

Contact Information

Primary practice address
3341 Youree Dr Ste 205 Shreveport LA 71105-2149
Phone: (318) 219-4167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 009189 Louisiana

Profile Details

NPI number 1548803711
LBN Legal business name Jackson, Renice Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Oct 21st, 2019 - 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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