# JAC STORES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SAV MOR PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093726598
- **Authorized official:** DAVID FALK (PRESIDENT & OWNER)
- **Authorized official phone:** (217) 362-6226

## Contact information

- **Practice address:** 104 E SOUTHLINE RD, ROUTE 36 UNIT A, TUSCOLA, IL 61953-2075
- **Practice address phone:** (217) 253-2309
- **Practice address fax:** (217) 253-5073
- **Mailing address:** 2245 W MOUND RD, DECATUR, IL 62526-9367
- **Mailing address phone:** (217) 362-6226
- **Mailing address fax:** (217) 362-6241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054005154 | IL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 10/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2016687 | PK | — |