Organization
RXM PHARMACY INC
Active
Other names
BREMENTOWNE DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROZEWICKI RPH (VP)
(708) 532-7711
Entity
Organization
Contact information
Practice address
7545 W 159TH ST, TINLEY PARK, IL 60477-9305
(708) 532-7711
(708) 532-1524
Mailing address
7545 W 159TH ST, TINLEY PARK, IL 60477-9305
(708) 532-7711
(708) 532-1524
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054009533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1456640
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/20/2006
Last updated
03/30/2010
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