Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAC STORES INC
Active OrganizationJAC STORES INC is a Long-Term Care Pharmacy organization located in TUSCOLA, Illinois. NPI 1093726598 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · TUSCOLA, IL
Registration Details
- NPI Number
- 1093726598
- Provider Type
- Organization
- NPI Issued
- Aug 10, 2006 (19.828957469798 yrs)
- Last Updated
- Oct 17, 2024
- License
-
054005154 (IL)
Practice Information
- Address
-
104 E SOUTHLINE RDROUTE 36 UNIT ATUSCOLA, IL, 619532075Browse IL providers · Browse ZIP 61953
- Phone
- 2172532309
- Fax
- 2172535073
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Long-Term Care Pharmacy
Other Long-Term Care Pharmacy Organizations in TUSCOLA, IL
| Name | NPI |
|---|---|
| SHOPKO STORES OPERATING CO LLC | 1316976558 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.