Jackson, Tara Sauls
Jackson, Tara Sauls is an sole proprietor health care provider with primary practice located at 412 Johnson St Se , Dawson GA 39842-1523. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jackson, Tara Sauls can be contacted via phone (229) 995-2126.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH020862 | Georgia |
Profile Details
| NPI number | 1063625184 |
|---|---|
| LBN Legal business name | Jackson, Tara Sauls |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063625184 | NPPES |
| Georgia | Other | RPH020862 | STATE LICENSE |
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