Organization
AVICENNA PHARMACY INC
Active
Other names
Avicenna Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED MAHAFZAH PHARM.D (PHARMACIST IN CHARGE)
(708) 529-7222
Entity
Organization
Contact information
Practice address
10837 S CICERO AVE STE 110C, OAK LAWN, IL 60453-6459
(708) 529-7222
(708) 529-7325
Mailing address
10604 SOUTHWEST HWY STE 102, CHICAGO RIDGE, IL 60415-2704
(708) 930-5393
(708) 529-3593
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
08/30/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us