Provider Demographics
NPI:1932262912
Name:R & S PHARMACY INC
Entity type:Organization
Organization Name:R & S PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST INCHARGE
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-356-5406
Mailing Address - Street 1:SOUTH SHORE HOSPITAL BUILDING
Mailing Address - Street 2:8015 SOUTH LUZELLA AVE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617
Mailing Address - Country:US
Mailing Address - Phone:773-356-5406
Mailing Address - Fax:773-356-5440
Practice Address - Street 1:SOUTH SHORE HOSPITAL BUILDING
Practice Address - Street 2:8015 SOUTH LUZELLA AVE
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617
Practice Address - Country:US
Practice Address - Phone:773-356-5406
Practice Address - Fax:773-356-5440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540082793336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid