Jac Stores Inc

Long Term Care Pharmacy · Robinson, IL

Organization Active NPI

NPI number 1760227474

Practice location

1300 N Allen St
Robinson, IL 62454-1090
Phone
(217) 433-6226
Fax
(618) 544-9298

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NPI record

NPI
1760227474
Entity type
Organization (Type 2)
Enumeration date
June 26, 2024
Last updated
June 26, 2024
Certified
June 26, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Long Term Care Pharmacy Primary 3336L0003X — —

Mailing address

2245 W Mound Rd
Decatur, IL 62526-9367
Phone
(217) 362-6226
Fax
(217) 362-6241

Authorized official

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

Other names

  • Bertram Pharmacy LTC

About Jac Stores Inc

Jac Stores Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Long Term Care Pharmacy (code 3336L0003X). The practice location is 1300 N Allen St, Robinson, IL 62454-1090. The NPI number 1760227474 was assigned on June 26, 2024 and the record was last updated on June 26, 2024.

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

Frequently asked questions

What is the NPI number of Jac Stores Inc?

The NPI number is 1760227474.

What is the phone number of Jac Stores Inc?

The phone number listed for the practice location is (217) 433-6226.

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 3336L0003X – Long Term Care Pharmacy.

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.