Jac Stores Inc

Community/Retail Pharmacy · Clinton, IL

Organization Active NPI

NPI number 1881948305

Practice location

59 Cedar Sq
Clinton, IL 61727-2201
Phone
(217) 935-0315
Fax
(217) 935-0319

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NPI record

NPI
1881948305
Entity type
Organization (Type 2)
Enumeration date
November 6, 2012
Last updated
February 22, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 054018054 IL
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

2245 W Mound Rd
Decatur, 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

  • 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 59 Cedar Sq, Clinton, IL 61727-2201. The NPI number 1881948305 was assigned on November 6, 2012 and the record was last updated on February 22, 2013.

Jac Stores Inc lists a license in the registry: #054018054 (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 1881948305.

What is the phone number of Jac Stores Inc?

The phone number listed for the practice location is (217) 935-0315.

Where is Jac Stores Inc located?

59 Cedar Sq, Clinton, IL 61727-2201.

What is the taxonomy code for Jac Stores Inc?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 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.

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