MR. JACK KEEGAN HUNT NPI 1205565082

NPI Information

NPI: 1205565082
Provider Name: MR. JACK KEEGAN HUNT
Classification: Pharmacy Technician - 183700000X
Entity Type: Individual
Address:
4650 W MAIN ST
DOTHAN, AL
ZIP 36305
Phone: (334) 792-6824
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MR. Jack Keegan Hunt is a pharmacy technician in Dothan, AL. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. MR. Jack Keegan Hunt NPI is 1205565082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4650 W MAIN ST
DOTHAN, AL
ZIP 36305-419
Phone: (334) 792-6824

The enumeration date for this NPI number is 6/7/2022 and was last updated on 6/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183700000X	Pharmacy Technician		T65754	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T65754	OTHER	ALABAMA	N/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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