Organization
VICS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MBACHU PHARMACIST (OWNER)
(773) 764-0044
Entity
Organization
Contact information
Practice address
1313 W MORSE AVE UNIT B, CHICAGO, IL 60626-3521
(773) 764-0044
(773) 764-1126
Mailing address
1313 W MORSE AVE UNIT B, CHICAGO, IL 60626-3521
(773) 764-0044
(773) 764-1126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
051029448
IL
Other
Enumeration date
08/18/2006
Last updated
08/27/2008
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