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Individual
MR. JACK PERSHING PADGETT JR.
Active
Individual
MR. JACK PERSHING PADGETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4186
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4202329
NABP
—
05
—
716647
—
SC
01
—
DE1340
DME MEDICAID
SC
Enumeration date
09/21/2005
Last updated
07/13/2026
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