Provider Demographics
NPI:1093952046
Name:PHARMACY HEALTHCARE SOLUTIONS, LTD.
Entity Type:Organization
Organization Name:PHARMACY HEALTHCARE SOLUTIONS, LTD.
Other - Org Name:ADVOCATE RX SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, PROF SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-748-0860
Mailing Address - Street 1:600 N US HIGHWAY 45
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1286
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 N US HIGHWAY 45
Practice Address - Street 2:EAST BLDG, RM# 06Z
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1286
Practice Address - Country:US
Practice Address - Phone:847-523-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054-0165873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1482847OtherNCPDP PROVIDER IDENTIFICATION NUMBER