Organization
J CO DRUG INC
Active
Other names
J Co Drug
Organization subpart
No
Provider details
NPI number
Authorized official
IRVEN JULIAN JACOBSON JR. RPH (PRESIDENT)
(701) 965-6671
Entity
Organization
Contact information
Practice address
120 NORTH MAIN, CROSBY, ND 58730
(701) 965-6671
(701) 965-6849
Mailing address
PO BOX 50, CROSBY, ND 58730-0050
(701) 965-6671
(701) 965-6849
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000213078
—
MT
05
—
020028
—
ND
01
—
3500469
NABP
—
Enumeration date
08/31/2006
Last updated
08/22/2020
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