# VICS PHARMACY INC

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

## Provider details

- **NPI number:** 1992138226
- **Authorized official:** RICHARD MBACHU (PRESIDENT)
- **Authorized official phone:** (773) 454-3392

## Contact information

- **Practice address:** 1313 W MORSE AVE UNIT B, CHICAGO, IL 60626-3521
- **Practice address phone:** (773) 764-0044
- **Practice address fax:** (773) 764-1126
- **Mailing address:** 1313 W MORSE AVE UNIT B, CHICAGO, IL 60626-3521
- **Mailing address phone:** (773) 764-0044
- **Mailing address fax:** (773) 764-1126

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2013
- **Last updated:** 08/09/2013