Provider Demographics
NPI:1922112994
Name:H&S PHARMACIES, LLC
Entity Type:Organization
Organization Name:H&S PHARMACIES, LLC
Other - Org Name:TONY'S MEDICENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MGR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-497-9311
Mailing Address - Street 1:324 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:STEELEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62288-1407
Mailing Address - Country:US
Mailing Address - Phone:618-965-3511
Mailing Address - Fax:618-965-9526
Practice Address - Street 1:324 W BROADWAY
Practice Address - Street 2:
Practice Address - City:STEELEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62288-1407
Practice Address - Country:US
Practice Address - Phone:618-965-3511
Practice Address - Fax:618-965-9526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
IL0540188393336C0003X
IL0540095093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL054021123OtherPL
IL43733824004Medicaid
0470740001Medicare NSC