Provider Demographics
NPI:1942603048
Name:RPH ON THE GO USA
Entity Type:Organization
Organization Name:RPH ON THE GO USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECRUITER
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SONERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-779-6132
Mailing Address - Street 1:8001 LINCOLN AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3657
Mailing Address - Country:US
Mailing Address - Phone:800-553-7359
Mailing Address - Fax:847-588-7060
Practice Address - Street 1:7377 ALCOA RD
Practice Address - Street 2:TARGET PHARMACY
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022
Practice Address - Country:US
Practice Address - Phone:501-776-4361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD07355251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARPD07355OtherPHARMACIST LICENSE