Jac Stores INC

NPI #1902817406 in Virden, Illinois

Provider Information

NPI Number
1902817406
Entity Type
Organization
Organization Name
Jac Stores INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 10, 2006
Last Updated
Feb 21, 2017

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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