NPI | 1487045845 |
---|---|
Doing Business As | 365RX LLC |
Entity Type | Organization |
Authorized Contact | HENRY HERNANDEZ Ins. Contracting Rpresentative 708-375-5736 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2015-02-06 |
Last Update Date | 2015-02-12 |