# 365RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 365RX LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487045845
- **Authorized official:** HENRY HERNANDEZ (INS. CONTRACTING RPRESENTATIVE)
- **Authorized official phone:** (708) 375-5736

## Contact information

- **Practice address:** 150 FENCL LN, HILLSIDE, IL 60162-2041
- **Practice address phone:** (708) 449-7600
- **Practice address fax:** (708) 375-5820
- **Mailing address:** 150 FENCL LN, HILLSIDE, IL 60162-2041
- **Mailing address phone:** (708) 449-7600
- **Mailing address fax:** (708) 375-5820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 02/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2150215 | PK | — |