Charles Russell Jaco, RPH - Pharmacist in Fort Mill, SC

Charles Russell Jaco, RPH is a Pharmacist based in Fort Mill, South Carolina. Charles Russell Jaco is licensed to practice in South Carolina (license number 12969) and his current practice location is 510 Botley Ct Apt 306, Fort Mill, South Carolina. He can be reached at his office (for appointments etc.) via phone at (803) 459-6157.

NPI number for Charles Russell Jaco is 1992001267 and his current mailing address is 510 Botley Ct Apt 306, Fort Mill, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992001267.

Contact Information

Charles Russell Jaco, RPH
510 Botley Ct Apt 306,
Fort Mill, SC 29708
(803) 459-6157
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCharles Russell Jaco
GenderMale
SpecialityPharmacist
Location510 Botley Ct Apt 306, Fort Mill, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992001267
  • Provider Enumeration Date: 02/04/2011
  • Last Update Date: 02/04/2011

Medical Identifiers

Medical identifiers for Charles Russell Jaco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992001267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 12969 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Russell Jaco is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Russell Jaco, RPH
510 Botley Ct Apt 306,
Fort Mill, SC 29708-8239

Ph: (803) 459-6157
Charles Russell Jaco, RPH
510 Botley Ct Apt 306,
Fort Mill, SC 29708

Ph: (803) 459-6157

Reviews and Comments


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