# MILES OF CARE RX DIRECT DIVISION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073300729
- **Authorized official:** TAMMISHIA LITTLE (AUTHORIZED MANAGER)
- **Authorized official phone:** (773) 960-1202

## Contact information

- **Practice address:** 10408 S WESTERN AVE, CHICAGO, IL 60643-2508
- **Practice address phone:** (844) 438-2525
- **Practice address fax:** (708) 933-3459
- **Mailing address:** PO BOX 19111, CHICAGO, IL 60619-0002
- **Mailing address phone:** (773) 960-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 05/07/2025