Jac Stores Inc
Community/Retail Pharmacy · Robinson, IL
Practice location
1300 N Allen StRobinson, IL 62454-1090
- Phone
- (618) 544-2167
- Fax
- (618) 544-9298
NPI record
- NPI
- 1285645788
- Entity type
- Organization (Type 2)
- Enumeration date
- August 10, 2006
- Last updated
- February 20, 2017
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
054015383 | IL |
| Pharmacy | 333600000X |
— | — |
Mailing address
2245 W Mound RdDecatur, IL 62526-9367
- Phone
- (217) 362-6226
- Fax
- (217) 362-6241
Authorized official
- Name
- David Falk
- Title
- President & Owner
- Phone
- (217) 362-6226
Other names
- Bertram 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 1300 N Allen St, Robinson, IL 62454-1090. The NPI number 1285645788 was assigned on August 10, 2006 and the record was last updated on February 20, 2017.
Jac Stores Inc lists a license in the registry: #054015383 (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 1285645788.
What is the phone number of Jac Stores Inc?
The phone number listed for the practice location is (618) 544-2167.
Where is Jac Stores Inc located?
1300 N Allen St, Robinson, IL 62454-1090.
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 Robinson
- Walmart Inc.1304 E Main St
- Harmon's Drug Store, Inc1101 N Allen St Ste a