# VICTORY RX, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Local Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528413945
- **Authorized official:** DR. SELMA DZELIL PHARMD. (VP RDO)
- **Authorized official phone:** (815) 715-8502

## Contact information

- **Practice address:** 2545 W. DIVERSEY AVE STE. 104, CHICAGO, IL 60647
- **Practice address phone:** (773) 673-5493
- **Practice address fax:** (844) 224-0287
- **Mailing address:** 2545 W. DIVERSEY AVE STE. 104, CHICAGO, IL 60647
- **Mailing address phone:** (773) 673-5493
- **Mailing address fax:** (844) 224-0287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054.020635 | IL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 09/25/2023