Jac Stores INC

NPI #1881948305 in Clinton, Illinois

Provider Information

NPI Number
1881948305
Entity Type
Organization
Organization Name
Jac Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 6, 2012
Last Updated
Feb 22, 2013

Practice Location

Address
59 CEDAR SQ
ZIP Code
61727-2201
Phone
(217) 935-0315

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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