# ADVANCED CARE RX LLC

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

## Provider details

- **NPI number:** 1356843072
- **Authorized official:** DR. ARASH RAEI PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (312) 462-0071

## Contact information

- **Practice address:** 11422 S WESTERN AVE STE 101, CHICAGO, IL 60643-4120
- **Practice address phone:** (312) 834-5293
- **Mailing address:** 11422 S WESTERN AVE STE 101, CHICAGO, IL 60643-4120
- **Mailing address phone:** (312) 834-5293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054.020654 | IL | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 08/13/2021