Provider Demographics
NPI:1629469945
Name:MEDCOUNSEL PHARMACY CORP.
Entity Type:Organization
Organization Name:MEDCOUNSEL PHARMACY CORP.
Other - Org Name:DR. Z'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ZAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZVI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:708-966-0785
Mailing Address - Street 1:14322 S WILL COOK RD
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-9211
Mailing Address - Country:US
Mailing Address - Phone:708-966-0785
Mailing Address - Fax:708-405-0038
Practice Address - Street 1:14322 S WILL COOK RD
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-9211
Practice Address - Country:US
Practice Address - Phone:708-966-0785
Practice Address - Fax:708-405-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7577190001Medicare NSC