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Organization

PRAXIS SPECIALTY PHARMACY, LLC

Active
Parent organization
PRAXIS SPECIALTY PHARMACY, LLC
Other names
PraxisRx Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRAXIS SPECIALTY PHARMACY, LLC
Authorized official
MR. JOHN FOLLIARD RPH (PHARMACIST IN CHARGE)
(888) 510-3383
Entity
Organization

Contact information

Practice address
455 N HARLEM AVE, LOWER LEVEL, OAK PARK, IL 60301-2020
(888) 510-3383
(708) 330-4467
Mailing address
1144 LAKE ST, OAK PARK, IL 60301-6705
(888) 903-7453
(888) 958-2831

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054019439
IL

Other

Enumeration date
07/15/2015
Last updated
07/15/2015
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