# TVS RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MADISON PINE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801883608
- **Authorized official:** TILAK MARWAHA MS RPH (PRESIDENT)
- **Authorized official phone:** (773) 379-7773

## Contact information

- **Practice address:** 5470 W MADISON ST, CHICAGO, IL 60644-4031
- **Practice address phone:** (773) 379-7773
- **Practice address fax:** (773) 379-1020
- **Mailing address:** 5470 W MADISON ST, CHICAGO, IL 60644-4031
- **Mailing address phone:** (773) 379-7773
- **Mailing address fax:** (773) 379-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 540014342 | IL | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 03/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2017030 | PK | — |