JEROME D. JACKSON NPI 1376661934

NPI Information

JEROME D. JACKSON is a durable medical equipment medical supplies in Fairbanks, AK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JEROME D. JACKSON NPI is 1376661934. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Center Pharmacy.

The provider's business location address is:

1867 AIRPORT WAY
SUITE 105
FAIRBANKS, AK
ZIP 99701-007
Phone: (907) 452-2328

The provider's authorized official is Jerome D Jackson .
The authorized official title is Owner Pharmacist and has the following contact phone number (907) 452-2328.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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