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Jac Stores Inc
Community/Retail Pharmacy in Nokomis, Illinois
NPI 1366453862

Jac Stores Inc is a Community/Retail Pharmacy based in Decatur, IL and is specialized in Community/Retail Pharmacy. Jac Stores Inc practices in Nokomis, IL. The NPI Number for Jac Stores Inc is 1366453862 and holds a License No. (Illinois).

The current practice location address for Jac Stores Inc is 110 E State St, Nokomis, IL and can be reached out via phone at 217-563-8346 and via fax at 217-563-2418.

Location: 110 E State St, Nokomis, IL, 62526-9367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366453862
Provider Name
Jac Stores Inc
Credential
Provider Entity Type
Organization
Address
110 E State St, Nokomis, IL, 62526-9367
Phone Number
217-563-8346
Fax Number
217-563-2418
Provider Enumeration Date
08/10/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017269 01 PK
institution
Provider Business Practice Location Address Details
Address
110 E State St
City
Nokomis
State
Illinois
Zip
62075-1340
Phone Number
217-563-8346
Fax Number
217-563-2418
person
Provider Business Mailing Address Details
Address
110 E State St
City
Nokomis
State
Illinois
Zip
62075-1340
Phone Number
217-563-8346
Fax Number
217-563-2418
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054006164 (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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