# SIMPLY PURE RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simply Pure Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750749297
- **Authorized official:** SAMI MUSLEH (CO-OWNER/CHIEF PHARMACIST)
- **Authorized official phone:** (708) 227-0505

## Contact information

- **Practice address:** 1607 BENSON AVE, EVANSTON, IL 60201-3717
- **Practice address phone:** (847) 227-8020
- **Practice address fax:** (847) 868-8426
- **Mailing address:** 1607 BENSON AVE, EVANSTON, IL 60201-3717
- **Mailing address phone:** (847) 227-8020
- **Mailing address fax:** (847) 868-8426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054019323 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 03/03/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2157929 | PK | — |