Organization
J A C STORES INC
Active
Parent organization
J A C INC
Other names
SAVMOR PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
J A C INC
Authorized official
DAVID E FALK (PRESIDENT)
(815) 692-4343
Entity
Organization
Contact information
Practice address
122 W LOCUST ST, FAIRBURY, IL 61739-1549
(815) 692-4343
(815) 692-4825
Mailing address
122 W LOCUST ST, FAIRBURY, IL 61739-1549
(815) 692-4343
(815) 692-4825
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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