Provider Demographics
NPI:1578395745
Name:PRECISION RX LLC
Entity type:Organization
Organization Name:PRECISION RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:FEDJA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-329-1763
Mailing Address - Street 1:2423 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1547
Mailing Address - Country:US
Mailing Address - Phone:815-846-4944
Mailing Address - Fax:
Practice Address - Street 1:2423 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1547
Practice Address - Country:US
Practice Address - Phone:815-846-4944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy