Healthcare Provider Details

I. General information

NPI: 1366074007
Provider Name (Legal Business Name): MEDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 S RIVERSIDE DR STE 300
ELMHURST IL
60126-4964
US

IV. Provider business mailing address

345 N CANAL ST STE 201
CHICAGO IL
60606-1264
US

V. Phone/Fax

Practice location:
  • Phone: 888-428-3791
  • Fax:
Mailing address:
  • Phone: 888-428-3791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. THEODORE VLADIMIR TERZIEV
Title or Position: PHARMACIST-IN-CHARGE
Credential: PHARMD
Phone: 888-428-3791