MEDICARE: REAL DRUGS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1235183880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REAL DRUGS INC

Provider Business Mailing Address
First Line	:	1460 N HALSTED ST STE 101
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2620
Country	:	US
Telephone Number	:	312-929-3009
Fax Number	:	312-929-3330

Provider Business Practice Location Address
First Line	:	1460 N HALSTED ST STE 101
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-2620
Country	:	US
Telephone Number	:	312-929-3009
Fax Number	:	312-929-3330

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELLIOTT SAUL ROCK
Credential	:	PHARMD
Telephone Number	:	312-929-3009

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	02/26/2020

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Directions to “REAL DRUGS INC ” Practice Location

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