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 MOUNT PULASKI, Illinois. NPI 1316393374 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · MOUNT PULASKI, IL
Registration Details
- NPI Number
- 1316393374
- Provider Type
- Organization
- NPI Issued
- May 9, 2016 (10.251417525921 yrs)
- Last Updated
- Oct 12, 2016
- License
-
054020026 (IL)
Practice Information
- Address
-
1110 N TOPPER DRMOUNT PULASKI, IL, 625481401Browse IL providers · Browse ZIP 62548
- Phone
- 2173626226
- Fax
- 2177925635
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Long-Term Care Pharmacy
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.