Organization
TOWNCARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANENE DIKE BS PHARM (PHARMACY MANAGER)
(708) 388-2329
Entity
Organization
Contact information
Practice address
13805 CICERO AVE, CRESTWOOD, IL 60418-1826
(708) 388-2329
(708) 388-2328
Mailing address
13805 CICERO AVE, CRESTWOOD, IL 60418-1826
(708) 388-2329
(708) 388-2328
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054.018573
IL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147143
PK
—
Enumeration date
07/28/2014
Last updated
04/19/2018
Update your record
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