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Jac Stores Inc
Community/Retail Pharmacy in Fairbury, Illinois
NPI 1326059825

Jac Stores Inc is a Community/Retail Pharmacy based in Decatur, IL and is specialized in Community/Retail Pharmacy. Jac Stores Inc practices in Fairbury, IL. The NPI Number for Jac Stores Inc is 1326059825 and holds a License No. (Illinois).

The current practice location address for Jac Stores Inc is 122 W Locust St, Fairbury, IL and can be reached out via phone at 815-692-4343 and via fax at 815-692-4825.

Location: 122 W Locust St, Fairbury, IL, 62524-3040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326059825
Provider Name
Jac Stores Inc
Credential
Provider Entity Type
Organization
Address
122 W Locust St, Fairbury, IL, 62524-3040
Phone Number
815-692-4343
Fax Number
815-692-4825
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447603 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
122 W Locust St
City
Fairbury
State
Illinois
Zip
61739-1549
Phone Number
815-692-4343
Fax Number
815-692-4825
person
Provider Business Mailing Address Details
Address
122 W Locust St
City
Fairbury
State
Illinois
Zip
61739-1549
Phone Number
815-692-4343
Fax Number
815-692-4825
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054008106 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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