# APOTHECO PHARMACY LINCOLN PARK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386078830
- **Authorized official:** MR. ANUSH AMIN (PRESIDENT & OFFICER)
- **Authorized official phone:** (973) 869-2820

## Contact information

- **Practice address:** 2140 N HALSTED ST, CHICAGO, IL 60614-4385
- **Practice address phone:** (312) 392-5801
- **Practice address fax:** (815) 784-3667
- **Mailing address:** 788 MORRIS TURNPIKE, FL 3, SHORT HILLS, NJ 07078
- **Mailing address phone:** (973) 869-2820
- **Mailing address fax:** (973) 869-2822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018252 | IL | Yes |

## Other

- **Enumeration date:** 09/01/2013
- **Last updated:** 02/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 462488983001 | — | IL |