Provider Demographics
NPI:1407487267
Name:REAL DRUGS INC
Entity Type:Organization
Organization Name:REAL DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:SAUL
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:312-929-3009
Mailing Address - Street 1:1460 N HALSTED ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-2620
Mailing Address - Country:US
Mailing Address - Phone:312-929-3009
Mailing Address - Fax:312-929-3330
Practice Address - Street 1:1460 N HALSTED ST STE 101
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-2620
Practice Address - Country:US
Practice Address - Phone:312-929-3009
Practice Address - Fax:312-929-3330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REAL DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-30
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy