Healthcare Provider Details

I. General information

NPI: 1861458812
Provider Name (Legal Business Name): RINDERER'S HOME HEALTH CARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 N BELLWOOD RD
BETHALTO IL
62010-1794
US

IV. Provider business mailing address

68 N BELLWOOD RD
BETHALTO IL
62010-1794
US

V. Phone/Fax

Practice location:
  • Phone: 618-377-2151
  • Fax: 618-377-7966
Mailing address:
  • Phone: 618-377-2151
  • Fax: 618-377-7966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. MATTHEW JAY CARLISLE
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 636-928-3957