# PRAXIS SPECIALTY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRAXIS SPECIALTY PHARMACY, LLC
- **Other names:** PraxisRx Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225412786
- **Legal business name:** PRAXIS SPECIALTY PHARMACY, LLC
- **Authorized official:** MR. JOHN FOLLIARD RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (888) 510-3383

## Contact information

- **Practice address:** 455 N HARLEM AVE, LOWER LEVEL, OAK PARK, IL 60301-2020
- **Practice address phone:** (888) 510-3383
- **Practice address fax:** (708) 330-4467
- **Mailing address:** 1144 LAKE ST, OAK PARK, IL 60301-6705
- **Mailing address phone:** (888) 903-7453
- **Mailing address fax:** (888) 958-2831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054019439 | IL | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 07/15/2015