# INTERDEPENDENT PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakes Apothecary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316470123
- **Authorized official:** MR. BYRON STRAKUSEK RPH. (OWNER)
- **Authorized official phone:** (224) 392-2666

## Contact information

- **Practice address:** 404 N SEYMOUR AVE, MUNDELEIN, IL 60060-1835
- **Practice address phone:** (224) 475-0020
- **Practice address fax:** (224) 475-0849
- **Mailing address:** 1778 SOMERSET LN, MUNDELEIN, IL 60060-5363
- **Mailing address phone:** (224) 392-2666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2017
- **Last updated:** 07/21/2022