Jaffe Drug Stores INC
Pharmacy in Kankakee, IL. Organization (NPI-2).
NPI number1477541019
StatusActive
Last updated in NPPESMar 29, 2013
Details
- NPI
- 1477541019
- Entity type
- Organization (NPI-2)
- Legal business name
- Jaffe Drug Stores INC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2005
- Last updated
- Mar 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 054001269 | IL | Yes |
Practice location
217 E Court StKankakee, IL 60901-3824
Phone 815-933-3369 · Fax 815-933-3380
Mailing address
217 E Court StKankakee, IL 60901-3824
Phone 815-933-3369 · Fax 815-933-3380
Authorized official
Frederick Jaffe
Pharmacist In Charge
8159333369
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