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Organization

SPECIALTY CARE RX, LLC

Active
Other names
Specialty Care Rx
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH P HARTMAN RPH (CEO)
(609) 457-0814
Entity
Organization

Contact information

Practice address
5310 N SHERIDAN RD, CHICAGO, IL 60640-2514
(773) 769-6200
(773) 769-6201
Mailing address
5310 N SHERIDAN RD, CHICAGO, IL 60640-2514
(773) 769-6200
(773) 769-6201

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054018467
IL
3336S0011X
Specialty Pharmacy
054018467
IL

Other

Enumeration date
01/22/2014
Last updated
01/22/2014
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