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Organization

INTEGRATED CARE PHARMACY

Active
Other names
Integrated Care Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY PANICI (PHARMACIST IN CHARGE)
(224) 360-6100
Entity
Organization

Contact information

Practice address
222 STONE CT, NEW LENOX, IL 60451-1598
(224) 360-6100
Mailing address
222 STONE COURT, NEW LENOX, IL 60451
(224) 360-6100

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
054018100
IL
3336C0004X
Compounding Pharmacy
Primary
054018100
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2138272
PK
Enumeration date
01/31/2013
Last updated
04/07/2015
About Stedi
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  • EDI platform