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Organization
JAC STORES INC
Active
Organization
JAC STORES INC
Active
Parent organization
JAC STORES INC
Other names
Sav Mor Pharmacy Nokomis LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAC STORES INC
Authorized official
DAVID FALK (OWNER)
(217) 362-6226
Entity
Organization
Contact information
Practice address
110 E STATE ST, NOKOMIS, IL 62075-1340
(217) 563-8346
(217) 563-2418
Mailing address
2245 W MOUND RD, DECATUR, IL 62526-9367
(217) 433-6226
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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