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Organization
RX STORES LLC
Active
Organization
RX STORES LLC
Active
Other names
Sav Mor Family Drug Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FALK (OWNER)
(217) 362-6226
Entity
Organization
Contact information
Practice address
415 N CEDAR ST, SHELBYVILLE, IL 62565-1245
(217) 774-4050
(217) 362-6241
Mailing address
2245 W MOUND RD, DECATUR, IL 62526-9367
(217) 362-6226
(217) 362-6241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054020224
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167923
PK
—
Enumeration date
02/02/2017
Last updated
03/06/2017
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