Organization
JAC STORES INC
Active
Other names
SAV MOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FALK (PRESIDENT & OWNER)
(217) 362-6226
Entity
Organization
Contact information
Practice address
122 W LOCUST ST, FAIRBURY, IL 61739-1549
(815) 692-4343
(815) 692-4825
Mailing address
PO BOX 3040, DECATUR, IL 62524-3040
(217) 362-6226
(217) 362-6241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054008106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447603
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
10/04/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us