Healthcare Provider Details
I. General information
NPI: 1407846413
Provider Name (Legal Business Name): N.M.S. DRUGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8350 W LAWRENCE AVE
NORRIDGE IL
60706-3152
US
IV. Provider business mailing address
8350 W LAWRENCE AVE
NORRIDGE IL
60706-3152
US
V. Phone/Fax
- Phone: 708-456-6455
- Fax: 708-456-1859
- Phone: 708-456-6455
- Fax: 708-456-1859
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: MR.
WILLIAM
A
NELSON
Title or Position: PRESIDENT
Credential: R.PH.
Phone: 708-456-6455