Wellformed AI

NPI 1356843072 · live from the CMS NPI Registry

Advanced Care Rx LLC

Pharmacy, Community/Retail Pharmacy in Chicago, IL. National Provider Identifier 1356843072, active.

NPI record

NPI1356843072 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location11422 S Western Ave Ste 101, Chicago, IL 60643
Practice phone312-834-5293
EnumeratedMarch 8, 2018
Last updatedAugust 13, 2021
Authorized officialArash Raei, Pharmacist In Charge

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy primary3336C0003X054.020654 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.