Healthcare Provider Details

I. General information

NPI: 1366510166
Provider Name (Legal Business Name): H&S PHARMACIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 E VIENNA ST
ANNA IL
62906-2039
US

IV. Provider business mailing address

PO BOX 683
ANNA IL
62906-0683
US

V. Phone/Fax

Practice location:
  • Phone: 618-833-9858
  • Fax: 618-833-3858
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number54014758
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN PETER SCHREIBER
Title or Position: OWNER/OPERATIONS MANAGER
Credential:
Phone: 314-965-4700