Jacks Pharmacy INC

NPI #1619001187 in St Maries, Idaho

Provider Information

NPI Number
1619001187
Entity Type
Organization
Organization Name
Jacks Pharmacy INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 15, 2007
Last Updated
Apr 23, 2025

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies

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