Jayla Jack, PHARMD, RPH

Pharmacist · Greenville, IL

Individual Active NPI

NPI number 1982311825

Practice location

401 E Harris Ave
Greenville, IL 62246-2211
Phone
(618) 664-2505

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NPI record

NPI
1982311825
Entity type
Individual (Type 1)
Enumeration date
October 31, 2022
Last updated
October 31, 2022
Certified
October 31, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051305156 IL

Mailing address

7517 Waterford Pl
Troy, IL 62294-9006
Phone
(618) 779-7697

About Dr. Jack

Jayla Jack, PHARMD, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 401 E Harris Ave, Greenville, IL 62246-2211. The NPI number 1982311825 was assigned on October 31, 2022 and the record was last updated on October 31, 2022.

Dr. Jack lists a license in the registry: #051305156 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jayla Jack, PHARMD, RPH?

The NPI number is 1982311825.

What is the phone number of Dr. Jack?

The phone number listed for the practice location is (618) 664-2505.

Where is Dr. Jack located?

401 E Harris Ave, Greenville, IL 62246-2211.

What is the taxonomy code for Dr. Jack?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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