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Jac Stores Inc
Community/Retail Pharmacy in Flora, Illinois
NPI 1578747184

Jac Stores Inc is a Community/Retail Pharmacy based in Decatur, IL and is specialized in Community/Retail Pharmacy. Jac Stores Inc practices in Flora, IL. The NPI Number for Jac Stores Inc is 1578747184 and holds a License No. 054016343 (Illinois).

The current practice location address for Jac Stores Inc is 121 W North Ave, Flora, IL and can be reached out via phone at 618-662-9470.

Location: 121 W North Ave, Flora, IL, 62526-9367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578747184
Provider Name
Jac Stores Inc
Credential
Provider Entity Type
Organization
Address
121 W North Ave, Flora, IL, 62526-9367
Phone Number
618-662-9470
Fax Number
Provider Enumeration Date
12/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1481504 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
121 W North Ave
City
Flora
State
Illinois
Zip
62839-1613
Phone Number
618-662-9470
Fax Number
person
Provider Business Mailing Address Details
Address
121 W North Ave
City
Flora
State
Illinois
Zip
62839-1613
Phone Number
618-662-9470
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054016343 (Illinois)
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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