Local City Search for Medical Equipment Suppliers JACKS PHARMACY INC
Medical Equipment Supplier Yellow Pages
St Maries, Idaho
Provider NPI: 1518967710
Organization Information:Organization Name: JACKS PHARMACY INC
Practice Location:
103 E COLLEGE AVE ST MARIES, ID 83861 US
Tel: 208-245-4578 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
103 E COLLEGE AVE ST MARIES, ID 83861 US
Tel: 208-245-4578 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3336C0003X | Suppliers Pharmacy Community/Retail Pharmacy | ID | 1368CP |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 002494500 | ID | 05 | |
| 002494400 | ID | 05 | |
| NCPDP | 1303483 | ID | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
