Provider Demographics
NPI:1811025174
Name:SAV-RX-CHICAGO INC
Entity Type:Organization
Organization Name:SAV-RX-CHICAGO INC
Other - Org Name:SAV-RX PHARMACY AT TEAMSTER CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRES SAV RX
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:PITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-228-2181
Mailing Address - Street 1:224 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4964
Mailing Address - Country:US
Mailing Address - Phone:800-228-2181
Mailing Address - Fax:800-810-1394
Practice Address - Street 1:1645 W JACKSON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3227
Practice Address - Country:US
Practice Address - Phone:312-850-4293
Practice Address - Fax:312-421-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
IL0540140933336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1470486OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1470486OtherNCPDP PROVIDER IDENTIFICATION NUMBER