# JAC STORES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sav Mor Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316307994
- **Authorized official:** DAVID FALK (OWNER/AO)
- **Authorized official phone:** (217) 362-6226

## Contact information

- **Practice address:** 326 ROUTE 45 N, LOUISVILLE, IL 62858-2652
- **Practice address phone:** (618) 665-4828
- **Practice address fax:** (618) 665-4814
- **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 | 054019675 | IL | Yes |

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 06/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2157611 | PK | — |