Provider Demographics
NPI:1174608285
Name:DOCS DRUGS LTD
Entity type:Organization
Organization Name:DOCS DRUGS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:HARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-458-6104
Mailing Address - Street 1:455 E REED ST
Mailing Address - Street 2:
Mailing Address - City:BRAIDWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60408-2090
Mailing Address - Country:US
Mailing Address - Phone:815-458-6104
Mailing Address - Fax:815-458-6158
Practice Address - Street 1:618 S SANGAMON AVE
Practice Address - Street 2:
Practice Address - City:GIBSON CITY
Practice Address - State:IL
Practice Address - Zip Code:60936-1721
Practice Address - Country:US
Practice Address - Phone:217-784-8412
Practice Address - Fax:217-784-8435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
14-77872OtherNABP
IL=========022Medicaid
IL=========022Medicaid