Jac Stores INC

NPI #1598500209 in Virden, Illinois

Provider Information

NPI Number
1598500209
Entity Type
Organization
Organization Name
Jac Stores INC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jun 26, 2024
Last Updated
Jun 26, 2024

Practice Location

Address
105 E JACKSON ST
City
Virden
ZIP Code
62690-1450
Phone
(217) 965-4926

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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