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Organization
THIRD COAST RX LLC
Active
Organization
THIRD COAST RX LLC
Active
Other names
Encore Pharmacy #125, Rhone Pharmacy- Chicago, ReCept Pharmacy #125
Organization subpart
No
Provider details
NPI number
Authorized official
AKSHAR PATEL (SOLE DIRECTOR)
(773) 359-8570
Entity
Organization
Contact information
Practice address
5501 S HALSTED ST, STE 147, CHICAGO, IL 60621-2229
(773) 359-8570
(773) 359-8571
Mailing address
5501 S HALSTED ST STE 147, CHICAGO, IL 60621-2229
(773) 359-8570
(773) 359-8571
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054020787
IL
3336S0011X
Specialty Pharmacy
054020787
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300134199
—
IN
05
—
600175934
—
MO
Enumeration date
06/12/2018
Last updated
07/31/2026
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