<Unavail>
LBN: Jeffrey Scott Jackson
<Unavail> is an health care organization with primary practice located at 16821 Rosman Hwy , Lake Toxaway NC 28747-9593. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jeffrey Scott Jackson can be contacted via phone (828) 884-3784, or through Jackson, Jeffrey via phone (828) 884-3784.
Contact Information
Primary practice address
16821 Rosman Hwy
Lake Toxaway NC 28747-9593
Phone: (828) 884-3784
Fax: (828) 884-3792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 06268 | North Carolina |
Profile Details
| NPI number | 1932264355 |
|---|---|
| LBN Legal business name | Jeffrey Scott Jackson |
| DBA Doing business as | <Unavail> |
| Authorized official | Jackson, Jeffrey RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jan 20th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932264355 | NPPES |
| North Carolina | MEDICAID | 0885202A | |
| North Carolina | Other | 3432933 |
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