Organization
JAFFE DRUG STORES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK JAFFE R.PH. (PHARMACIST IN CHARGE)
(815) 933-3369
Entity
Organization
Contact information
Practice address
217 E COURT ST, KANKAKEE, IL 60901-3824
(815) 933-3369
(815) 933-3380
Mailing address
217 E COURT ST, KANKAKEE, IL 60901-3824
(815) 933-3369
(815) 933-3380
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054001269
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1406138
NABP #
IL
Enumeration date
10/07/2005
Last updated
03/29/2013
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