Organization · Type 2 NPI
Jac Stores Inc
Long Term Care Pharmacy · Nokomis, IL
NPI number
1396530838
Active
Practice location
110 E State St
Nokomis, IL 62075-1340
Fax (217) 563-2418
Mailing address
2245 W Mound Rd
Decatur, IL 62526-9367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
2 other providers at this address
About NPI 1396530838
Jac Stores Inc's National Provider Identifier is 1396530838, issued on Apr 14, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Nokomis, IL. The record was last updated on Apr 14, 2025.