Jacks Pharmacy Inc
Jacks Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in St Maries, Idaho. Licensed in Idaho. Registered with an NPI since 2005.
- Licensed in
- ID
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
103 E College AveSt Maries, ID 83861-2247
Phone: (208) 245-4578
Fax: (208) 245-5004
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 1368CP (ID) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1518967710 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Benjamin Potter — Ceo · (208) 719-9095 |
| NPI enumerated | July 28, 2005 |
| Last updated in NPPES | March 2, 2026 |
| Certification date | March 2, 2026 |
| Mailing address | 103 E College Ave, St Maries, ID 83861-2247 |
Other providers in St Maries
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Jacks Pharmacy Inc
103 E College Ave, St Maries, ID 83861-2247 · (208) 245-4578