Jac Stores INC
NPI #1316307994 in Louisville, Illinois
Provider Information
- NPI Number
- 1316307994
- Entity Type
- Organization
- Organization Name
- Jac Stores INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 25, 2016
- Last Updated
- Jun 2, 2022
Practice Location
- Address
- 326 ROUTE 45 N
- City
- Louisville
- State
- Illinois
- ZIP Code
- 62858-2652
- Phone
- (618) 665-4828
Authorized Official
- Name
- DAVID FALK
- Title
- OWNER/AO
- Phone
- (217) 362-6226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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