Provider Demographics
NPI:1598820920
Name:MS STERLING INC
Entity Type:Organization
Organization Name:MS STERLING INC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:815-622-5000
Mailing Address - Street 1:4 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-3503
Mailing Address - Country:US
Mailing Address - Phone:815-622-5000
Mailing Address - Fax:815-622-3136
Practice Address - Street 1:4 W 3RD ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3503
Practice Address - Country:US
Practice Address - Phone:815-622-5000
Practice Address - Fax:815-622-3136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054014273333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1472240OtherOTHER ID NUMBER-COMMERCIAL NUMBER
ILBT6701280OtherDEA #
ILBT6701280OtherDEA #
1472240OtherOTHER ID NUMBER-COMMERCIAL NUMBER