Jac Stores INC

NPI #1093726598 in Tuscola, Illinois

Provider Information

NPI Number
1093726598
Entity Type
Organization
Organization Name
Jac Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 10, 2006
Last Updated
Oct 17, 2024

Practice Location

Address
104 E SOUTHLINE RD
Address 2
ROUTE 36 UNIT A
ZIP Code
61953-2075
Phone
(217) 253-2309

Authorized Official

Name
DAVID FALK
Title
PRESIDENT & OWNER
Phone
(217) 362-6226

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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