Provider Demographics
NPI:1275588170
Name:ROSENS MORSEVIEW PHARMACY INC
Entity Type:Organization
Organization Name:ROSENS MORSEVIEW PHARMACY INC
Other - Org Name:ROSENS MORSEVIEW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:773-743-7585
Mailing Address - Street 1:2955 W DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1555
Mailing Address - Country:US
Mailing Address - Phone:773-743-7585
Mailing Address - Fax:773-743-2684
Practice Address - Street 1:2955 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1555
Practice Address - Country:US
Practice Address - Phone:773-743-7585
Practice Address - Fax:773-743-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540085693336C0003X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2018598OtherPK
2018598OtherPK
1164930001Medicare NSC