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Jacks Pharmacy Inc
Community/Retail Pharmacy in St Maries, Idaho
NPI 1518967710

Jacks Pharmacy Inc is a Community/Retail Pharmacy based in St Maries, ID and is specialized in Community/Retail Pharmacy. Jacks Pharmacy Inc practices in St Maries, ID. The NPI Number for Jacks Pharmacy Inc is 1518967710 and holds a License No. 1368CP (Idaho).

The current practice location address for Jacks Pharmacy Inc is 103 E College Ave, St Maries, ID and can be reached out via phone at 208-245-4578 and via fax at 208-245-5004.

Location: 103 E College Ave, St Maries, ID, 83861-2247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518967710
Provider Name
Jacks Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
103 E College Ave, St Maries, ID, 83861-2247
Phone Number
208-245-4578
Fax Number
208-245-5004
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002494400 05 ID
002494500 05 ID
1303483 01 ID NCPDP
institution
Provider Business Practice Location Address Details
Address
103 E College Ave
City
St Maries
State
Idaho
Zip
83861-2247
Phone Number
208-245-4578
Fax Number
208-245-5004
person
Provider Business Mailing Address Details
Address
103 E College Ave
City
St Maries
State
Idaho
Zip
83861-2247
Phone Number
208-245-4578
Fax Number
208-245-5004
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
1368CP (Idaho)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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