Jackson, Ricky Adonis

Jackson, Ricky Adonis is an sole proprietor health care provider with primary practice located at 510 Kings Hwy , Shreveport LA 71104-4444. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jackson, Ricky Adonis can be contacted via phone (318) 424-0896.

Contact Information

Primary practice address
510 Kings Hwy Shreveport LA 71104-4444
Phone: (318) 424-0896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 021137 Louisiana

Profile Details

NPI number 1225413560
LBN Legal business name Jackson, Ricky Adonis
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2015
Last updated Jul 28th, 2015 - about 11 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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