Provider Demographics
NPI:1538491873
Name:DRINKA, HELGA (RPH)
Entity Type:Individual
Prefix:MS
First Name:HELGA
Middle Name:
Last Name:DRINKA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 E RIVERSIDE BLVD
Mailing Address - Street 2:KMART PHARMACY
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-4742
Mailing Address - Country:US
Mailing Address - Phone:815-877-8059
Mailing Address - Fax:815-282-4992
Practice Address - Street 1:1515 E RIVERSIDE BLVD
Practice Address - Street 2:KMART PHARMACY
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-4742
Practice Address - Country:US
Practice Address - Phone:815-877-8059
Practice Address - Fax:815-282-4992
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051030946183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist