Local City Search for Pharmacies, Medical Equipment Suppliers, Pharmacists and Pharmacy Service ProvidersJACKS PHARMACY INC
103 E College Ave
St Maries, ID 83861
208-245-4578
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 | MEDICAID | |
| 002494400 | ID | MEDICAID | |
| NCPDP | 1303483 | ID | OTHER |
