Mark Kent Jackson is a Pharmacist in Athens, Alabama. Mark Kent Jackson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark Kent Jackson is 1063620516. The last update date is 2007-07-08.
Mark Kent Jackson's current location address is 605 Hwy 31 South, Athens, Alabama. You can contact this provider via phone number 2562328274. The mailing address for Mark Kent Jackson is 605 Hwy 31 South, Athens, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kent Jackson |
|---|---|
| Address | 605 Hwy 31 South, Athens, Alabama |
| Phone Number | 2562328274 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063620516 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 605 Hwy 31 South |
|---|---|
| City | Athens |
| State | Alabama (AL) |
| Post Code | 35611 |
| Phone Number | 2562328274 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 11878 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the Mark Kent Jackson's 1063620516?
The Mark Kent Jackson's NPI (National Provider Identifier) Number is 1063620516. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Kent Jackson is physically located?
The Mark Kent Jackson is physically situated at the following address: 605 Hwy 31 South, Athens, AL, 35611.
What is the area of specialization for Mark Kent Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark Kent Jackson is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063620516 to Mark Kent Jackson?
The Centers for Medicare & Medicaid Services assigned the 1063620516 to Mark Kent Jackson on 2007-05-18.
As of what date were the details related to Mark Kent Jackson most recently updated or revised?
The information pertaining to Mark Kent Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.