Sav Mor Pharmacy

LBN: Jac Stores Inc
Sav Mor Pharmacy is an health care organization with primary practice located at 121 W North Ave , Flora IL 62839-1613. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Jac Stores Inc can be contacted via phone (618) 662-9470, or through Falk, David via phone (217) 262-6226.

Contact Information

Primary practice address
121 W North Ave Flora IL 62839-1613
Phone: (618) 662-9470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Falk, David
Phone: (217) 262-6226

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054016343 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578747184
LBN Legal business name Jac Stores Inc
DBA Doing business as Sav Mor Pharmacy
Authorized official Falk, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Feb 13th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578747184 NPPES
Other 1481504 NCPDP PROVIDER IDENTIFICATION NUMBER

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