Organization
APOTHECO PHARMACY LINCOLN PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANUSH AMIN (PRESIDENT & OFFICER)
(973) 869-2820
Entity
Organization
Contact information
Practice address
2140 N HALSTED ST, CHICAGO, IL 60614-4385
(312) 392-5801
(815) 784-3667
Mailing address
788 MORRIS TURNPIKE, FL 3, SHORT HILLS, NJ 07078
(973) 869-2820
(973) 869-2822
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054018252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462488983001
—
IL
Enumeration date
09/01/2013
Last updated
02/06/2025
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