Edward Lawrence Jackson in Fort Bragg - Pharmacotherapy

Edward Lawrence Jackson - NPI 1285611707

Edward Lawrence Jackson is a Pharmacotherapy in Fort Bragg, North Carolina. Edward Lawrence Jackson practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Edward Lawrence Jackson is 1285611707. The last update date is 2007-07-08.

Edward Lawrence Jackson's current location address is Wamc Stop A 2817 Reilly Rd, Fort Bragg, North Carolina. You can contact this provider via phone number 9109078680 and fax number 9109078443. The mailing address for Edward Lawrence Jackson is Wamc Stop A 2817 Reilly Rd, Fort Bragg, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Lawrence Jackson
Address Wamc Stop A 2817 Reilly Rd, Fort Bragg, North Carolina
Phone Number 9109078680
Fax Number 9109078443
Sole Proprietor X
Credentials PHARM.D.

NPI Number Detail

NPI Number 1285611707
Provider Enumeration Date 2005-12-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Wamc Stop A 2817 Reilly Rd
City Fort Bragg
State North Carolina (NC)
Post Code 283100001
Phone Number 9109078680
Fax Number 9109078443

Provider's Primary Taxonomy Detail

Speciality Pharmacotherapy
Taxonomy 1835P1200X
Licence No 11096
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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FAQs about Edward Lawrence Jackson

What is the Edward Lawrence Jackson's unique identification number?

The Edward Lawrence Jackson has been assigned the NPI (National Provider Identifier) Number 1285611707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Edward Lawrence Jackson's physical address?

The Edward Lawrence Jackson is physically located at Wamc Stop A 2817 Reilly Rd, in the city of Fort Bragg, NC, with the postal code 283100001.

What is Edward Lawrence Jackson's area of expertise and its corresponding taxonomy classification?

The Edward Lawrence Jackson's field of specialization is Pharmacotherapy, and it falls under the taxonomy code 1835P1200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285611707 to Edward Lawrence Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1285611707 to Edward Lawrence Jackson on 2005-12-27.

As of what date were the details related to Edward Lawrence Jackson most recently updated or revised?

The information pertaining to Edward Lawrence Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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