Provider Demographics
NPI:1417297185
Name:TOTAL CARE RX, INC.
Entity Type:Organization
Organization Name:TOTAL CARE RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORSINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-509-2963
Mailing Address - Street 1:2480 DELTA LN
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-6303
Mailing Address - Country:US
Mailing Address - Phone:630-509-2963
Mailing Address - Fax:847-734-1822
Practice Address - Street 1:2480 DELTA LN
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-6303
Practice Address - Country:US
Practice Address - Phone:630-509-2963
Practice Address - Fax:847-734-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1487722OtherNATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS