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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