Provider Demographics
NPI:1598368771
Name:DELIVERCARERX PHARMACY, LLC
Entity Type:Organization
Organization Name:DELIVERCARERX PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-779-7704
Mailing Address - Street 1:1471 E BUSINESS CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-6058
Mailing Address - Country:US
Mailing Address - Phone:847-779-7704
Mailing Address - Fax:
Practice Address - Street 1:4816 S ASH AVE STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7735
Practice Address - Country:US
Practice Address - Phone:855-857-4701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELIVERCARERX PHARMACY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-19
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy