Vincent Eugene Jackson in Prince Frederick - Pharmacotherapy
Vincent Eugene Jackson - NPI 1710985783
Vincent Eugene Jackson is a Pharmacotherapy in Prince Frederick, Maryland. Vincent Eugene Jackson practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Vincent Eugene Jackson is 1710985783. The last update date is 2007-07-08.
Vincent Eugene Jackson's current location address is 100 Hospital Rd, Prince Frederick, Maryland. You can contact this provider via phone number 4105354000 and fax number 4105358307. The mailing address for Vincent Eugene Jackson is 100 Hospital Rd, Prince Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vincent Eugene Jackson |
|---|---|
| Address | 100 Hospital Rd, Prince Frederick, Maryland |
| Phone Number | 4105354000 |
| Fax Number | 4105358307 |
| Sole Proprietor | X |
| Credentials | PHARM D, R |
NPI Number Detail
| NPI Number | 1710985783 |
|---|---|
| Provider Enumeration Date | 2005-07-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Hospital Rd |
|---|---|
| City | Prince Frederick |
| State | Maryland (MD) |
| Post Code | 2067840170 |
| Phone Number | 4105354000 |
| Fax Number | 4105358307 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 15453 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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What is the unique 10-digit identification code assigned to Vincent Eugene Jackson by the Centers for Medicare & Medicaid Services?
The Vincent Eugene Jackson has been issued the NPI (National Provider Identifier) 1710985783, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Vincent Eugene Jackson?
The Vincent Eugene Jackson is physically situated at 100 Hospital Rd, in the city of Prince Frederick, state of MD, with the postal code 2067840170.
What is the area of specialization for Vincent Eugene Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Vincent Eugene Jackson is Pharmacotherapy, and the corresponding taxonomy code that categorizes this area of expertise is 1835P1200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710985783 to Vincent Eugene Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1710985783 to Vincent Eugene Jackson on 2005-07-13.
When was the information pertaining to Vincent Eugene Jackson most recently updated or revised?
The details related to Vincent Eugene Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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