Organization · Type 2 NPI
Jacks Pharmacy Inc
Durable Medical Equipment & Medical Supplies · St. Maries, ID
NPI number
1619001187
Active
Practice location
103 E College Ave
St. Maries, ID 83861-2247
Fax (208) 245-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 1368CP (ID) |
| Community/Retail Pharmacy | 3336C0003X | None listed |
Durable Medical Equipment & Medical Supplies: 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.
4 other providers at this address
About NPI 1619001187
Jacks Pharmacy Inc's National Provider Identifier is 1619001187, issued on Mar 15, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in St. Maries, ID. The record was last updated on Apr 23, 2025.