MEDICARE: HEALTH 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
1	333600000X	Pharmacy	054 014235	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4561900001	OTHER	IL	DMERC

General Provider Information

NPI Number	:	1396775508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH RX INC

Provider Business Mailing Address
First Line	:	1952 W CERMAK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-4204
Country	:	US
Telephone Number	:	773-847-7233
Fax Number	:	773-847-7233

Provider Business Practice Location Address
First Line	:	1952 W CERMAK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-4204
Country	:	US
Telephone Number	:	773-847-7233
Fax Number	:	773-847-7233

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAJENDRA C PARIKH
Credential	:	PHARMACIST
Telephone Number	:	773-847-7233

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	05/07/2008

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Directions to “HEALTH RX INC ” Practice Location

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