Provider Demographics
NPI:1710384219
Name:ROSENS-MORSEVIEW PHARMACY, INC
Entity Type:Organization
Organization Name:ROSENS-MORSEVIEW PHARMACY, INC
Other - Org Name:ROSENS-MORSEVIEW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:R.PH
Authorized Official - Prefix:
Authorized Official - First Name:STEVEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-743-7585
Mailing Address - Street 1:2955 W DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1555
Mailing Address - Country:US
Mailing Address - Phone:773-743-7585
Mailing Address - Fax:773-743-2684
Practice Address - Street 1:2955 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1555
Practice Address - Country:US
Practice Address - Phone:773-743-7585
Practice Address - Fax:773-743-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
IL0540085693336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2148996OtherPK
IL=========001Medicaid
1164930001Medicare NSC