Provider Demographics
NPI:1649751744
Name:LSCS HOLDINGS, INC.
Entity Type:Organization
Organization Name:LSCS HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CONTRACTING AND PAYER ACCESS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:636-519-2496
Mailing Address - Street 1:444 W LAKE ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-0096
Mailing Address - Country:US
Mailing Address - Phone:636-519-2496
Mailing Address - Fax:
Practice Address - Street 1:17877 CHESTERFIELD AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1211
Practice Address - Country:US
Practice Address - Phone:636-519-2496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2014000185OtherPHARMACY