Edward Jackson
Pharmacy Technician in Newport News, VA. Individual provider (NPI-1).
NPI number1386222859
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1386222859
- Entity type
- Individual (NPI-1)
- Name
- Edward Jackson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 0230034593 | VA | Yes |
Practice location
11214 Jefferson AveNewport News, VA 23601-2207
Phone 757-327-7478
Mailing address
11214 Jefferson AveNewport News, VA 23601-2207
Phone 757-327-7478
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