Organization
UNITED/XCEL-RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD BLEICHMAN RPH (PIC-PHARMACIST IN CHARGE)
(708) 564-5052
Entity
Organization
Contact information
Practice address
150 FENCL LN STE 2B, HILLSIDE, IL 60162-2041
(708) 564-5052
(708) 564-5130
Mailing address
150 FENCL LN STE 2B, HILLSIDE, IL 60162-2041
(708) 564-5052
(708) 564-5130
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054.020460
IL
3336C0003X
Community/Retail Pharmacy
054018074
IL
Other
Enumeration date
07/30/2013
Last updated
07/18/2018
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