Organization
JAC STORES INC
Active
Other names
Sav Mor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWARD FALK (PRESIDENT/OWNER)
(217) 362-6226
Entity
Organization
Contact information
Practice address
1410 VILLAGE PKWY, MT ZION, IL 62549-1253
(217) 864-0910
Mailing address
2245 W MOUND RD, DECATUR, IL 62526-9367
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/22/2013
Last updated
10/24/2013
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