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 CERRO GORDO, Illinois. NPI 1245777911 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · CERRO GORDO, IL
Registration Details
- NPI Number
- 1245777911
- Provider Type
- Organization
- NPI Issued
- Jan 19, 2017 (9.5869207406387 yrs)
- Last Updated
- Apr 8, 2022
Practice Information
- Address
-
407 S JACKSON STCERRO GORDO, IL, 618184360Browse IL providers · Browse ZIP 61818
- Phone
- 2177636161
- Fax
- 2177636134
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.