# RXM PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BREMENTOWNE DRUGS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114009909
- **Authorized official:** PAUL ROZEWICKI RPH (VP)
- **Authorized official phone:** (708) 532-7711

## Contact information

- **Practice address:** 7545 W 159TH ST, TINLEY PARK, IL 60477-9305
- **Practice address phone:** (708) 532-7711
- **Practice address fax:** (708) 532-1524
- **Mailing address:** 7545 W 159TH ST, TINLEY PARK, IL 60477-9305
- **Mailing address phone:** (708) 532-7711
- **Mailing address fax:** (708) 532-1524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054009533 | IL | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 03/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1456640 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |