Critical Care Rx, Llc

LBN: Critical Care Rx, Llc
Critical Care Rx, Llc is an health care organization with primary practice located at 126 Oak St , Peoria IL 61602. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Critical Care Rx, Llc can be contacted via phone (833) 352-0966, or through Enloe, Sam via phone (618) 339-4211.

Contact Information

Primary practice address
126 Oak St Peoria IL 61602
Phone: (833) 352-0966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Enloe, Sam
Phone: (618) 339-4211

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 54-020902 Illinois

Profile Details

NPI number 1720574676
LBN Legal business name Critical Care Rx, Llc
DBA Doing business as
Authorized official Enloe, Sam
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2018
Last updated Nov 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720574676 NPPES
Illinois Other 54-020902 PHARMACY LICENSE
Illinois Other 054.020902 PHARMACY LICENSE

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