Jac Stores Inc
Jac Stores Inc is a health care provider in Decatur, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 104 E Southline Rd, Route 36 Unit A, Tuscola, IL 61953-2075, US |
|Practice Location Phone||217-253-2309|
|Practice Location Fax||217-253-5073|
|Legal Business Name||JAC STORES INC|
|Other Organization Name||SAV MOR PHARMACY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Aug 10, 2006|
|Last Update Date ? ||Feb 20, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Jac Stores Inc
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Community/Retail Pharmacy ||054005154||Illinois|
Legacy Provider IDs of Jac Stores Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Jac Stores Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Jac Stores Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || David Falk|
|Authorized Official Title/Position||PRESIDENT & OWNER|
|Authorized Official Phone Number||217-362-6226|