Jacks Pharmacy INC

NPI #1518967710 in St Maries, Idaho

Provider Information

NPI Number
1518967710
Entity Type
Organization
Organization Name
Jacks Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 28, 2005
Last Updated
Feb 7, 2020

Practice Location

Address
103 E COLLEGE AVE
State
Idaho
ZIP Code
83861-2247
Phone
(208) 245-4578

Authorized Official

Name
DR. COLT DARLEY
Title
PHARMACIST/PRESIDENT
Phone
(208) 245-4578

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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