Provider Demographics
NPI:1932531522
Name:DOC'S DRUGS
Entity Type:Organization
Organization Name:DOC'S DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-458-6104
Mailing Address - Street 1:455 E REED ST
Mailing Address - Street 2:
Mailing Address - City:BRAIDWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60408-2090
Mailing Address - Country:US
Mailing Address - Phone:815-458-6104
Mailing Address - Fax:815-458-6158
Practice Address - Street 1:455 E REED ST
Practice Address - Street 2:
Practice Address - City:BRAIDWOOD
Practice Address - State:IL
Practice Address - Zip Code:60408-2090
Practice Address - Country:US
Practice Address - Phone:815-458-6104
Practice Address - Fax:815-458-6158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy