Organization
RX COMMUNITY MEDICAL PHARMACY INC
Active
Other names
RX COMMUNITY MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SHAH RPH (PRES)
(708) 333-9522
Entity
Organization
Contact information
Practice address
16113 LASALLE ST, SOUTH HOLLAND, IL 60473
(708) 333-9522
(708) 333-9547
Mailing address
16113 LASALLE ST, SOUTH HOLLAND, IL 60473
(708) 333-9522
(708) 333-9547
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054009953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020543
PK
—
Enumeration date
12/13/2006
Last updated
08/13/2014
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