MEDICARE: RX INNOVATIONS OF AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy		IL

General Provider Information

NPI Number	:	1801837315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX INNOVATIONS OF AMERICA

Provider Business Mailing Address
First Line	:	77 E MONROE ST
Second Line	:	SUITE 420
City	:	CHICAGO
State	:	IL
Zip	:	60603-5905
Country	:	US
Telephone Number	:	312-739-1186
Fax Number	:	312-739-1187

Provider Business Practice Location Address
First Line	:	77 E MONROE ST
Second Line	:	SUITE 420
City	:	CHICAGO
State	:	IL
Zip	:	60603-5905
Country	:	US
Telephone Number	:	312-739-1186
Fax Number	:	312-739-1187

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MS. SONIA J KERSTEN
Credential	:	REG PHARMACIST
Telephone Number	:	312-739-1186

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/07/2023

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Directions to “RX INNOVATIONS OF AMERICA ” Practice Location

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