Provider Demographics
NPI:1962923201
Name:EXCLUSIVE RX INC
Entity type:Organization
Organization Name:EXCLUSIVE RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-262-6800
Mailing Address - Street 1:6352 N LINCOLN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1213
Mailing Address - Country:US
Mailing Address - Phone:773-262-6800
Mailing Address - Fax:773-564-9717
Practice Address - Street 1:6352 N LINCOLN AVE STE 100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1213
Practice Address - Country:US
Practice Address - Phone:773-262-6800
Practice Address - Fax:773-564-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL054020359333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy