J S Vitamins And More INC
Pharmacy, Community/Retail Pharmacy in Circero, IL. Organization (NPI-2).
NPI number1437332467
StatusActive
Last updated in NPPESOct 8, 2010
Details
- NPI
- 1437332467
- Entity type
- Organization (NPI-2)
- Legal business name
- J S Vitamins And More INC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2007
- Last updated
- Oct 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054016342 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Hawthorne Health And Pharmacy (Doing Business As)
Practice location
4785 W CermatzCircero, IL 60804
Phone 708-656-1917 · Fax 708-656-1919
Mailing address
4785 W CermatzCircero, IL 60804
Phone 708-656-1917 · Fax 708-656-1919
Authorized official
Jack Bleichman
Owner
7086561917
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