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Organization
VICTORY RX, INC
Active
Organization
VICTORY RX, INC
Active
Other names
Local Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELMA DZELIL PHARMD. (VP RDO)
(815) 715-8502
Entity
Organization
Contact information
Practice address
2545 W. DIVERSEY AVE STE. 104, CHICAGO, IL 60647
(773) 673-5493
(844) 224-0287
Mailing address
2545 W. DIVERSEY AVE STE. 104, CHICAGO, IL 60647
(773) 673-5493
(844) 224-0287
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054.020635
IL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159908
PK
—
Enumeration date
05/04/2016
Last updated
09/25/2023
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