Provider Demographics
NPI:1952785115
Name:4 DADS LLC
Entity Type:Organization
Organization Name:4 DADS LLC
Other - Org Name:SCRIPTS 4 LESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGUEZA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:219-308-6571
Mailing Address - Street 1:3365 RIDGE RD
Mailing Address - Street 2:SUITE1
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3186
Mailing Address - Country:US
Mailing Address - Phone:708-858-2969
Mailing Address - Fax:
Practice Address - Street 1:3365 RIDGE RD
Practice Address - Street 2:SUITE1
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3186
Practice Address - Country:US
Practice Address - Phone:708-858-2969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540189583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy