Provider Demographics
NPI:1386739225
Name:PRESCRIPTIONS PLUS
Entity type:Organization
Organization Name:PRESCRIPTIONS PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-537-6202
Mailing Address - Street 1:753 TRUE VALUE DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IL
Mailing Address - Zip Code:62254-1593
Mailing Address - Country:US
Mailing Address - Phone:618-537-6202
Mailing Address - Fax:618-537-4534
Practice Address - Street 1:753 TRUE VALUE DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IL
Practice Address - Zip Code:62254-1593
Practice Address - Country:US
Practice Address - Phone:618-537-6202
Practice Address - Fax:618-537-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0540085653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid