MR. Donald C Jacks, R.PH.

NPI #1235122037 in Mattawan, Michigan

Provider Information

NPI Number: 1235122037
Entity Type: Individual
Name: MR. Donald C Jacks, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 26, 2005
Last Updated: Sep 15, 2009

Practice Location

Address: 56109 VILLAGE CENTER CIRCLE
City: Mattawan
State: Michigan
ZIP Code: 49071-8368
Phone: (269) 668-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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