365RX LLC

Organization Active NPI Community/Retail Pharmacy · Hillside, IL

NPI 1487045845 · NPPES record last updated Feb 12, 2015

Key facts

NPI
1487045845
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
365RX LLC
Practice address
150 Fencl LN
Hillside, IL 60162-2041
Phone
(708) 449-7600
Fax
(708) 375-5820
NPI assigned
Feb 6, 2015
Organization subpart
No

Authorized official

Name
Henry Hernandez
Title
Ins. Contracting Rpresentative
Phone
(708) 375-5736

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

150 Fencl LN
Hillside, IL 60162-2041

Mailing address

150 Fencl LN
Hillside, IL 60162-2041
Phone (708) 449-7600

Other identifiers

IdentifierTypeStateIssuer
2150215OtherPK

Other names

  • 365RX LLC Doing business as

Other providers in Hillside, IL

All providers in Hillside, IL · Community/Retail Pharmacy in Illinois

Sources for this page

Verify at the official NPI Registry.