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NPI Code Detail

MEDICARE: TVS RX INC

MEDICARE: TVS RX INC
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
1333600000XPharmacy
23336C0002XClinic Pharmacy
33336C0003XCommunity/Retail Pharmacy540014342IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12017030OTHERPK

General Provider Information

NPI Number : 1801883608
Entity Type Code : Organization
Provider Name (Legal Business Name) : TVS RX INC
Provider Business Mailing Address
First Line : 5470 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60644-4031
Country : US
Telephone Number : 773-379-7773
Fax Number : 773-379-1020
Provider Business Practice Location Address
First Line : 5470 W MADISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60644-4031
Country : US
Telephone Number : 773-379-7773
Fax Number : 773-379-1020
Authorized Official
Title or Position : PRESIDENT
Name : TILAK MARWAHA
Credential : MS RPH
Telephone Number : 773-379-7773
Provider Enumeration Date : 10/05/2005
Last Update Date : 03/19/2014

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Directions to “TVS RX INC ” Practice Location

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