Mark William Jackson

Pharmacist · Brewton, AL

Individual Active NPI

NPI number 1538760632

Practice location

2578 Douglas Ave
Brewton, AL 36426-3552
Phone
(251) 867-5358

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NPI record

NPI
1538760632
Entity type
Individual (Type 1)
Enumeration date
November 4, 2020
Last updated
November 4, 2020
Certified
November 4, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 15392 AL

Mailing address

6050 Gillette Dr
Milton, FL 32570-8004
Phone
(850) 501-1759

About Mark Jackson

Mark William Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2578 Douglas Ave, Brewton, AL 36426-3552. The NPI number 1538760632 was assigned on November 4, 2020 and the record was last updated on November 4, 2020.

Mark Jackson lists a license in the registry: #15392 (AL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark William Jackson?

The NPI number is 1538760632.

What is the phone number of Mark Jackson?

The phone number listed for the practice location is (251) 867-5358.

Where is Mark Jackson located?

2578 Douglas Ave, Brewton, AL 36426-3552.

What is the taxonomy code for Mark Jackson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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