Jac Stores Inc

Community/Retail Pharmacy · Flora, IL

Organization Active NPI

NPI number 1093998551

Practice location

121 W North Ave
Flora, IL 62839-1613

Phone: (618) 662-9470
Fax: (618) 662-9464

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NPI record

NPI: 1093998551
Entity type: Organization (Type 2)
Enumeration date: December 7, 2007
Last updated: February 20, 2017
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Community/Retail Pharmacy Primary	`3336C0003X`	054016343	IL
Pharmacy	`333600000X`	—	—

Mailing address

PO Box 3040
Decatur, IL 62524-3040

Phone: (217) 362-6226
Fax: (217) 362-6241

Authorized official

Name: David Falk
Title: President & Owner
Phone: (217) 362-6226

Other names

Sav Mor Pharmacy

About Jac Stores Inc

Jac Stores Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 121 W North Ave, Flora, IL 62839-1613. The NPI number 1093998551 was assigned on December 7, 2007 and the record was last updated on February 20, 2017.

Jac Stores Inc lists a license in the registry: #054016343 (IL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is David Falk, President & Owner.

Frequently asked questions

What is the NPI number of Jac Stores Inc?

The NPI number is 1093998551.

What is the phone number of Jac Stores Inc?

The phone number listed for the practice location is (618) 662-9470.

Where is Jac Stores Inc located?

121 W North Ave, Flora, IL 62839-1613.

What is the taxonomy code for Jac Stores Inc?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

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.

Other Community/Retail Pharmacy providers in Flora

County of Clay929 Stacy Burk Drive
Walmart Inc.1540 N Worthey St

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