# SIMPLE RX INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hwy 72 Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619285509
- **Authorized official:** MR. RUPESH BHARAT MANEK RPH (OWNER/PRESIDENT)
- **Authorized official phone:** (815) 522-3898

## Contact information

- **Practice address:** 527 WEST MAIN ST. UNIT 1W, UNIT 1W, KIRKLAND, IL 60146
- **Practice address phone:** (815) 522-3898
- **Practice address fax:** (815) 522-3859
- **Mailing address:** PO BOX 4, KIRKLAND, IL 60146-0004
- **Mailing address phone:** (815) 522-3898
- **Mailing address fax:** (815) 522-3859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054017556 | IL | Yes |

## Other

- **Enumeration date:** 09/14/2010
- **Last updated:** 10/27/2010
