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Contact Information

CRITICAL CARE RX, LLC
126 OAK ST
PEORIA, IL61602
 Phone: 833-352-0966
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CRITICAL CARE RX, LLC

NPI # 1720574676
LBN Legal business name CRITICAL CARE RX, LLC
Authorized official SAM ENLOE - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2018
Last updated 11/22/2021 - About 5 years ago
Identifiers
IL License # 54-020902
IL Other 054.020902 PHARMACY
IL Other 54-020902 PHARMACY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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