Stacey A Jackson in Sergeant Bluff - Pharmacist
Stacey A Jackson - NPI 1457470726
Stacey A Jackson is a Pharmacist in Sergeant Bluff, Iowa. Stacey A Jackson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Stacey A Jackson is 1457470726. The last update date is 2021-01-13.
Stacey A Jackson's current location address is 105 Gaul Dr Ste A, Sergeant Bluff, Iowa. You can contact this provider via phone number 7129431494 and fax number 7129431496. The mailing address for Stacey A Jackson is 105 Gaul Dr Ste A, Sergeant Bluff, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey A Jackson |
|---|---|
| Address | 105 Gaul Dr Ste A, Sergeant Bluff, Iowa |
| Phone Number | 7129431494 |
| Fax Number | 7129431496 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1457470726 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2021-01-13 |
Provider Mailing Address Detail
| Address | 105 Gaul Dr Ste A |
|---|---|
| City | Sergeant Bluff |
| State | Iowa (IA) |
| Post Code | 510548963 |
| Phone Number | 7129431494 |
| Fax Number | 7129431496 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 19811 |
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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 unique 10-digit identifier code assigned to Stacey A Jackson by the Centers for Medicare & Medicaid Services?
The Stacey A Jackson has been issued the NPI (National Provider Identifier) 1457470726 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stacey A Jackson is located?
The Stacey A Jackson is situated at the following address: 105 Gaul Dr Ste A, Sergeant Bluff, IA, 510548963.
What is the Stacey A Jackson's specialty and taxonomy code?
The Stacey A Jackson's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date was the 1457470726 assigned to Stacey A Jackson?
The Stacey A Jackson was issued its 1457470726 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stacey A Jackson last refreshed?
The information related to the Stacey A Jackson, including its address, specialty, and other relevant details, was last updated on 2021-01-13.
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