Provider Demographics
NPI:1538490487
Name:H&S PHARMACIES, LLC
Entity Type:Organization
Organization Name:H&S PHARMACIES, LLC
Other - Org Name:MEDICENTER PHARMACY CARBONDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-965-4700
Mailing Address - Street 1:2300 W MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901
Mailing Address - Country:US
Mailing Address - Phone:314-965-4700
Mailing Address - Fax:618-529-7653
Practice Address - Street 1:2300 W MAIN STREET
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901
Practice Address - Country:US
Practice Address - Phone:618-529-5351
Practice Address - Fax:618-529-7653
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H&S PHARMACIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-15
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IL0540167713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1233730003Medicaid
2123147OtherPK