Jac Stores INC
NPI #1245411297 in Virden, Illinois
Provider Information
- NPI Number
- 1245411297
- Entity Type
- Organization
- Organization Name
- Jac Stores INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JAC STORES INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 19, 2007
- Last Updated
- Apr 20, 2008
Practice Location
Authorized Official
- Name
- DAVID FALK
- Title
- PRESIDENT
- Phone
- (217) 965-4926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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