Organization
VICS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MBACHU (PRESIDENT)
(773) 454-3392
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
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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