# JEWEL PHARMACY RX CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720551914
- **Authorized official:** DANIEL K LEE (MANAGER)
- **Authorized official phone:** (708) 571-3761

## Contact information

- **Practice address:** 51 E BURLINGTON ST, RIVERSIDE, IL 60546-2124
- **Practice address phone:** (708) 571-3761
- **Practice address fax:** (708) 438-4640
- **Mailing address:** 51 E BURLINGTON ST, RIVERSIDE, IL 60546-2124

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2019
- **Last updated:** 07/14/2020