Tara Sauls Jackson in Dawson - Pharmacist
Tara Sauls Jackson - NPI 1063625184
Tara Sauls Jackson is a Pharmacist in Dawson, Georgia. Tara Sauls Jackson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Tara Sauls Jackson is 1063625184. The last update date is 2007-07-08.
Tara Sauls Jackson's current location address is 412 Johnson St Se, Dawson, Georgia. You can contact this provider via phone number 2299952126. The mailing address for Tara Sauls Jackson is 412 Johnson St Se, Dawson, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Sauls Jackson |
|---|---|
| Address | 412 Johnson St Se, Dawson, Georgia |
| Phone Number | 2299952126 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1063625184 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 412 Johnson St Se |
|---|---|
| City | Dawson |
| State | Georgia (GA) |
| Post Code | 398421523 |
| Phone Number | 2299952126 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH020862 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RPH020862 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tara Sauls Jackson?
The Tara Sauls Jackson has been issued the NPI (National Provider Identifier) 1063625184 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Tara Sauls Jackson?
The Tara Sauls Jackson is situated at 412 Johnson St Se, in the city of Dawson, state of GA, with the zip code 398421523.
What is the Tara Sauls Jackson's specialty and taxonomy code?
The Tara Sauls Jackson's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1063625184 assigned to Tara Sauls Jackson?
The Tara Sauls Jackson was issued its 1063625184 on 2007-05-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tara Sauls Jackson most recently updated or revised?
The details related to Tara Sauls Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1396749917
Address: 1903 Broadway St., Paducah, KY
NPI Number: 1235133968
Address: 2045 Highway 61 N, Port Gibson, MS
NPI Number: 1467456996
Address: 900 W Temple Ave Ste 203, Effingham, IL