Healthcare Provider Details

I. General information

NPI: 1225485303
Provider Name (Legal Business Name): RAMP RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3241 S MICHIGAN AVE STE 1583
CHICAGO IL
60616-4201
US

IV. Provider business mailing address

3241 S MICHIGAN AVE STE 1583
CHICAGO IL
60616-4201
US

V. Phone/Fax

Practice location:
  • Phone: 312-949-7713
  • Fax: 815-888-4095
Mailing address:
  • Phone: 312-949-7713
  • Fax: 815-888-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number054.019706
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAMAL ARORA
Title or Position: PRESIDENT
Credential:
Phone: 815-272-1603