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 VIRDEN, Illinois. NPI 1902817406 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · VIRDEN, IL
Registration Details
- NPI Number
- 1902817406
- Provider Type
- Organization
- NPI Issued
- Aug 10, 2006 (19.996578620726 yrs)
- Last Updated
- Feb 21, 2017
- License
-
054005155 (IL)
Practice Information
- Address
-
105 E JACKSON STVIRDEN, IL, 626901450Browse IL providers · Browse ZIP 62690
- Phone
- 2179654926
- Fax
- 2179655620
- 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.