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Organization
SIMPLE RX INC.
Active
Organization
SIMPLE RX INC.
Active
Other names
Hwy 72 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUPESH BHARAT MANEK RPH (OWNER/PRESIDENT)
(815) 522-3898
Entity
Organization
Contact information
Practice address
527 WEST MAIN ST. UNIT 1W, UNIT 1W, KIRKLAND, IL 60146
(815) 522-3898
(815) 522-3859
Mailing address
PO BOX 4, KIRKLAND, IL 60146-0004
(815) 522-3898
(815) 522-3859
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054017556
IL
Other
Enumeration date
09/14/2010
Last updated
10/27/2010
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