NPI 1225412786

Praxis Specialty Pharmacy, LLC

Organisation Community/Retail Pharmacy Oak Park, IL

Practice location

Address: 455 N Harlem Ave Lower Level, Oak Park, IL 60301-2020
Phone: (888) 510-3383
Fax: (708) 330-4467
Mailing address: 1144 Lake St, Oak Park, IL 60301-6705

Authorised official

Name: John Folliard
Title: Pharmacist in Charge
Phone: (888) 510-3383

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 054019439 (IL)

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Registry record

NPI: 1225412786
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.