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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
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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