Kenneth Conrad Jackson in Salt Lake City - Pharmacotherapy
Kenneth Conrad Jackson - NPI 1275514994
Kenneth Conrad Jackson is a Pharmacotherapy in Salt Lake City, Utah. Kenneth Conrad Jackson practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Kenneth Conrad Jackson is 1275514994. The last update date is 2007-08-01.
Kenneth Conrad Jackson's current location address is 546 Chipeta Way, Salt Lake City, Utah. You can contact this provider via phone number 8015817246 and fax number 8015816243. The mailing address for Kenneth Conrad Jackson is 546 Chipeta Way, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Conrad Jackson |
|---|---|
| Address | 546 Chipeta Way, Salt Lake City, Utah |
| Phone Number | 8015817246 |
| Fax Number | 8015816243 |
| Sole Proprietor | N |
| Credentials | PHARM.D., |
NPI Number Detail
| NPI Number | 1275514994 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 546 Chipeta Way |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841081236 |
| Phone Number | 8015817246 |
| Fax Number | 8015816243 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 363584-1701 |
|
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 |
|
Post Comment/ Review Below
What is the Kenneth Conrad Jackson's unique identification number?
The Kenneth Conrad Jackson has been assigned the NPI (National Provider Identifier) Number 1275514994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kenneth Conrad Jackson's facilities are geographically located?
The facilities of Kenneth Conrad Jackson are physically situated at the following location: 546 Chipeta Way, Salt Lake City, UT, 841081236.
What is Kenneth Conrad Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Conrad Jackson is Pharmacotherapy, and the taxonomy code that classifies this field of practice is 1835P1200X.
When was the Kenneth Conrad Jackson's 1275514994 issued?
The Kenneth Conrad Jackson's 1275514994 was issued on 2005-11-09.
As of what date were the details pertaining to Kenneth Conrad Jackson last refreshed?
The information related to the Kenneth Conrad Jackson, including its address, specialty, and other relevant details, was last updated on 2007-08-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN