# PHYSICIANS COMMUNITY PHARMACY, INC

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

## Provider details

- **NPI number:** 1861792129
- **Authorized official:** DR. GERALD J MINGOLELLI MD (PRESIDENT)
- **Authorized official phone:** (708) 798-8112

## Contact information

- **Practice address:** 5320 159TH ST, SUITE 201, OAK FOREST, IL 60452-4705
- **Practice address phone:** (708) 798-8112
- **Practice address fax:** (708) 535-6396
- **Mailing address:** 5320 159TH ST, SUITE 400, OAK FOREST, IL 60452-4705
- **Mailing address phone:** (708) 798-8112
- **Mailing address fax:** (708) 535-6396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 320009946 | IL | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 11/02/2010