Organization
RX STORES LLC
Active
Other names
Sav Mor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FALK (OWNER)
(217) 362-6226
Entity
Organization
Contact information
Practice address
23 E. 2ND STREET, PANA, IL 62557-1463
(217) 297-2103
(217) 297-2106
Mailing address
2245 W MOUND RD, DECATUR, IL 62526-9367
(217) 433-6226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054021068
PHARMACY LICENSE
IL
Enumeration date
01/26/2019
Last updated
06/02/2022
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