Provider Demographics
NPI:1760684088
Name:RX TOWER PHARMACY, LTD.
Entity Type:Organization
Organization Name:RX TOWER PHARMACY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARADA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-651-5858
Mailing Address - Street 1:15 TOWER CT
Mailing Address - Street 2:SUITE 195
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3336
Mailing Address - Country:US
Mailing Address - Phone:847-336-3455
Mailing Address - Fax:
Practice Address - Street 1:15 TOWER CT
Practice Address - Street 2:SUITE 195
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3336
Practice Address - Country:US
Practice Address - Phone:847-336-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy