Jac Stores INC
NPI #1699119644 in Mt Zion, Illinois
Provider Information
- NPI Number
- 1699119644
- Entity Type
- Organization
- Organization Name
- Jac Stores INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 22, 2013
- Last Updated
- Oct 24, 2013
Practice Location
Authorized Official
- Name
- DAVID EDWARD FALK
- Title
- PRESIDENT/OWNER
- Phone
- (217) 362-6226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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