Jac Stores Inc
Community/Retail Pharmacy · Mount Pulaski, IL
Practice location
1110 N Topper DrMount Pulaski, IL 62548-1401
- Phone
- (217) 362-6226
- Fax
- (217) 792-5635
NPI record
- NPI
- 1316393374
- Entity type
- Organization (Type 2)
- Enumeration date
- May 9, 2016
- Last updated
- October 12, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
054020026 | 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
- Owner/President/Ao
- 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 1110 N Topper Dr, Mount Pulaski, IL 62548-1401. The NPI number 1316393374 was assigned on May 9, 2016 and the record was last updated on October 12, 2016.
Jac Stores Inc lists a license in the registry: #054020026 (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, Owner/President/Ao.
Frequently asked questions
What is the NPI number of Jac Stores Inc?
The NPI number is 1316393374.
What is the phone number of Jac Stores Inc?
The phone number listed for the practice location is (217) 362-6226.
Where is Jac Stores Inc located?
1110 N Topper Dr, Mount Pulaski, IL 62548-1401.
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.