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Contact Information

DANNY J JACKSON SR, P.D.
5352 HOSPITAL BLVD
PINEVILLE, LA71360
 Phone: 318-473-6257
 Fax: 318-767-5330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for DANNY J JACKSON SR · (Male)

NPI # 1336284819
Status Active
Credentials P.D.
Entity Individual
Enumeration date 02/21/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 14055
  • LA Other 14055 PHARMACY LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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