# J S VITAMINS AND MORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAWTHORNE HEALTH AND PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437332467
- **Authorized official:** JACK BLEICHMAN (OWNER)
- **Authorized official phone:** (708) 656-1917

## Contact information

- **Practice address:** 4785 W CERMATZ, CIRCERO, IL 60804
- **Practice address phone:** (708) 656-1917
- **Practice address fax:** (708) 656-1919
- **Mailing address:** 4785 W CERMATZ, CIRCERO, IL 60804
- **Mailing address phone:** (708) 656-1917
- **Mailing address fax:** (708) 656-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054016342 | IL | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 10/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1481453 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |