Avicenna Pharmacy
LBN: Avicenna Pharmacy Inc
Avicenna Pharmacy is an health care organization with primary practice located at 10837 S Cicero Ave Ste 110C , Oak Lawn IL 60453-6459. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Avicenna Pharmacy Inc can be contacted via phone (708) 529-7222, or through Mahafzah, Ahmed via phone (708) 529-7222.
Contact Information
Primary practice address
10837 S Cicero Ave Ste 110C
Oak Lawn IL 60453-6459
Phone: (708) 529-7222
Fax: (708) 529-7325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054017745 | Illinois |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1437420460 |
|---|---|
| LBN Legal business name | Avicenna Pharmacy Inc |
| DBA Doing business as | Avicenna Pharmacy |
| Authorized official | Mahafzah, Ahmed RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2012 |
| Last updated | Aug 30th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437420460 | NPPES |
| Other | 2133562 | PK |
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