MEDICARE: DR. JACKSON A COMO PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	9659	AL

General Provider Information

NPI Number	:	1407845993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACKSON A COMO PHARM. D.

Provider Business Mailing Address
First Line	:	1431 BADHAM DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-2910
Country	:	US
Telephone Number	:	205-934-2162
Fax Number	:	205-934-3501

Provider Business Practice Location Address
First Line	:	UAB HOSPITAL
Second Line	:	619 SOUTH 19TH STREET
City	:	BIRMINGHAM
State	:	AL
Zip	:	35249-0001
Country	:	US
Telephone Number	:	205-934-3533
Fax Number	:	205-934-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/08/2007

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