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General NPI Number Information
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NPI Number | 1699667147
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Entity Type | Organization
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Legal Business Name | MEDOPTIONS RX LLC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 450 E DEVON AVE STE 170
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City | ITASCA
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State | IL
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Zip | 60143-1266
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Country | US
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Telephone | 708-220-5792
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Fax |
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Provider Business Mailing Address
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Address Line | 450 E DEVON AVE STE 170
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City | ITASCA
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State | IL
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Zip | 60143-1266
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Country | US
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Telephone | 708-220-5792
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Fax |
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Authorized Official
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Title or Position | CHIEF PHARMACY OFFICER
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Name | JENNIFER OTTO
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Credential | RPH
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Telephone | 708-220-5792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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