| NPI | 1588279558 |
|---|---|
| Doing Business As | AVICENNA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AHMED MAHAFZAH Pharmacist In Charge 708-529-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-08-30 |