Provider Demographics
NPI:1609911536
Name:MORSE L DRUGS GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:MORSE L DRUGS GENERAL PARTNERSHIP
Other - Org Name:MORSE L DRUGS GENERAL PARTNERSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED PHARMACIST/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-743-8400
Mailing Address - Street 1:1407 W MORSE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626
Mailing Address - Country:US
Mailing Address - Phone:773-743-8400
Mailing Address - Fax:773-743-8492
Practice Address - Street 1:1407 W. MORSE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626
Practice Address - Country:US
Practice Address - Phone:773-743-8400
Practice Address - Fax:773-743-8492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054000352183500000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No333600000XSuppliersPharmacyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0146010001Medicare UPIN
IL0146010001Medicare NSC