# JACKS ENTERPRISES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** JACK'S DISCOUNT DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770644866
- **Authorized official:** ABBIE DAVIS PHARMD (PHARMACIST)
- **Authorized official phone:** (334) 983-4191

## Contact information

- **Practice address:** 15073 S US HIGHWAY 231, MIDTOWN SHOPPING CENTER, MIDLAND CITY, AL 36350-6305
- **Practice address phone:** (334) 983-4191
- **Practice address fax:** (334) 983-5178
- **Mailing address:** 15073 S US HIGHWAY 231, MIDLAND CITY, AL 36350-6305
- **Mailing address phone:** (334) 983-4191
- **Mailing address fax:** (334) 983-5178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 10/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100002671 | — | AL |
| 01 | — | 1993443 | PK | — |