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Organization
JAC STORES INC
Active
Organization
JAC STORES INC
Active
Other names
Sav Mor Pharmacy Virden LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FALK (OWNER)
(217) 362-6226
Entity
Organization
Contact information
Practice address
105 E JACKSON ST, VIRDEN, IL 62690-1450
(217) 965-4926
(217) 965-5620
Mailing address
2245 W MOUND RD, DECATUR, IL 62526-9367
(217) 362-6226
(217) 362-6241
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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