Organization
ENGLEWOOD RX PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANISH VADIWALA (PRESIDENT)
(773) 994-0247
Entity
Organization
Contact information
Practice address
6508 S HALSTED ST, CHICAGO, IL 60621-2616
(773) 994-0247
(773) 994-1071
Mailing address
6508 S HALSTED ST, CHICAGO, IL 60621-2616
(773) 994-0247
(773) 994-1071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054013612
IL
Other
Enumeration date
01/01/2007
Last updated
03/10/2019
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