Jacks Pharmacy Inc in St Maries - Durable Medical Equipment & Medical Supplies
Jacks Pharmacy Inc - NPI 1619001187
Jacks Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in St Maries, Idaho. Jacks Pharmacy Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Jacks Pharmacy Inc is 1619001187. The last update date is 2020-02-07.
Jacks Pharmacy Inc's current location address is 103 E College Ave, St Maries, Idaho. You can contact this provider via phone number 2082454578 and fax number 2082455004. The mailing address for Jacks Pharmacy Inc is 103 E College Ave, St Maries, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jacks Pharmacy Inc |
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Address | 103 E College Ave, St Maries, Idaho |
Phone Number | 2082454578 |
Fax Number | 2082455004 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHARMACIST |
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Authorized Official Name | Darley Colt |
Credentials | PHARMD |
Telephone Number | 2082454578 |
NPI Number Detail
NPI Number | 1619001187 |
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Provider Enumeration Date | 2007-03-15 |
Last Updated Date | 2020-02-07 |
Provider Mailing Address Detail
Address | 103 E College Ave |
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City | St Maries |
State | Idaho (ID) |
Post Code | 838612247 |
Phone Number | 2082454578 |
Fax Number | 2082455004 |
Provider's Primary Taxonomy Detail
Speciality | Durable Medical Equipment & Medical Supplies |
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Taxonomy | 332B00000X |
Licence No | 1368CP |
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1303483 | ID | NCPDP | |
2494500 | ID | -- | |
2494400 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacks Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Jacks Pharmacy Inc has been issued the NPI (National Provider Identifier) 1619001187, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jacks Pharmacy Inc is physically located?
The Jacks Pharmacy Inc is situated at the following address: 103 E College Ave, St Maries, ID 838612247.
What is Jacks Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacks Pharmacy Inc's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619001187 to Jacks Pharmacy Inc?
The Jacks Pharmacy Inc received its 1619001187 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the Jacks Pharmacy Inc's information last updated?
The Jacks Pharmacy Inc's information was last updated on 2020-02-07.