Organization
JAC STORES INC
Active
Parent organization
JAC STORES INC
Other names
SAVMOR PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAC STORES INC
Authorized official
DAVID FALK (PRESIDENT)
(217) 965-4926
Entity
Organization
Contact information
Practice address
105 E JACKSON ST, VIRDEN, IL 62690-1450
(217) 965-4926
(217) 965-5620
Mailing address
105 E JACKSON ST, VIRDEN, IL 62690-1450
(217) 965-4926
(217) 965-5620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
04/20/2008
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