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Avicenna Pharmacy Inc
Compounding Pharmacy in Oak Lawn, Illinois
NPI 1437420460

Avicenna Pharmacy Inc is a Compounding Pharmacy based in Chicago Ridge, IL and is specialized in Compounding Pharmacy. Avicenna Pharmacy Inc practices in Oak Lawn, IL. The NPI Number for Avicenna Pharmacy Inc is 1437420460 and holds a License No. (Illinois).

The current practice location address for Avicenna Pharmacy Inc is 10837 S Cicero Ave Ste 110C, Oak Lawn, IL and can be reached out via phone at 708-529-7222 and via fax at 708-529-7325.

Location: 10837 S Cicero Ave Ste 110C, Oak Lawn, IL, 60415-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437420460
Provider Name
Avicenna Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
10837 S Cicero Ave Ste 110C, Oak Lawn, IL, 60415-2704
Phone Number
708-529-7222
Fax Number
708-529-7325
Provider Enumeration Date
01/23/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2133562 01 PK
institution
Provider Business Practice Location Address Details
Address
10837 S Cicero Ave Ste 110C
City
Oak Lawn
State
Illinois
Zip
60453-6459
Phone Number
708-529-7222
Fax Number
708-529-7325
person
Provider Business Mailing Address Details
Address
10837 S Cicero Ave Ste 110C
City
Oak Lawn
State
Illinois
Zip
60453-6459
Phone Number
708-529-7222
Fax Number
708-529-7325
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054017745 (Illinois)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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