Jac Stores Inc in Flora - Community/retail Pharmacy
Jac Stores Inc - NPI 1093998551
Jac Stores Inc is a Community/retail Pharmacy in Flora, Illinois. Jac Stores Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Jac Stores Inc is 1093998551. The last update date is 2017-02-20.
Jac Stores Inc's current location address is 121 W North Ave, Flora, Illinois. You can contact this provider via phone number 6186629470 and fax number 6186629464. The mailing address for Jac Stores Inc is 121 W North Ave, Flora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jac Stores Inc |
|---|---|
| Address | 121 W North Ave, Flora, Illinois |
| Phone Number | 6186629470 |
| Fax Number | 6186629464 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Falk David |
| Telephone Number | 2173626226 |
NPI Number Detail
| NPI Number | 1093998551 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2017-02-20 |
Provider Mailing Address Detail
| Address | 121 W North Ave |
|---|---|
| City | Flora |
| State | Illinois (IL) |
| Post Code | 628391613 |
| Phone Number | 6186629470 |
| Fax Number | 6186629464 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54016343 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2023628 | PK |
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What is the unique 10-digit identification code issued to Jac Stores Inc by the Centers for Medicare & Medicaid Services?
The Jac Stores Inc has been assigned the NPI (National Provider Identifier) 1093998551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jac Stores Inc located?
The Jac Stores Inc is located at 121 W North Ave, Flora, IL 628391613.
What is Jac Stores Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jac Stores Inc is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
When did the Jac Stores Inc receive its 1093998551?
The Jac Stores Inc was issued its 1093998551 on 2007-12-07, which is the date when the organization was assigned this unique identifier.
When was the Jac Stores Inc's information last updated?
The Jac Stores Inc's information was last updated on 2017-02-20.