Avicenna Pharmacy INC

NPI #1437420460 in Oak Lawn, Illinois

Provider Information

NPI Number
1437420460
Entity Type
Organization
Organization Name
Avicenna Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 23, 2012
Last Updated
Aug 30, 2023

Practice Location

Address
10837 S CICERO AVE STE 110C
ZIP Code
60453-6459
Phone
(708) 529-7222

Authorized Official

Name
AHMED MAHAFZAH, RPH
Title
OWNER, PIC, AO
Phone
(708) 529-7222

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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