Provider Demographics
NPI:1831430941
Name:H&S PHARMACIES, LLC
Entity type:Organization
Organization Name:H&S PHARMACIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
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 1:210 WEST HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:OKAWVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62271-1799
Mailing Address - Country:US
Mailing Address - Phone:618-243-1038
Mailing Address - Fax:618-243-1045
Practice Address - Street 1:210 WEST HIGH STREET
Practice Address - Street 2:
Practice Address - City:OKAWVILLE
Practice Address - State:IL
Practice Address - Zip Code:62271-1799
Practice Address - Country:US
Practice Address - Phone:618-243-1038
Practice Address - Fax:618-243-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IL054-0181583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL461394268001Medicaid