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INTEGRATED CARE PHARMACY NPI 1306184031


NPI Information

NPI: 1306184031
Provider Name: INTEGRATED CARE PHARMACY

Doing Business As: INTEGRATED CARE PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
222 STONE CT
NEW LENOX, IL
ZIP 60451
Phone: (224) 360-6100
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INTEGRATED CARE PHARMACY is a compounding pharmacy pharmacy in New Lenox, IL. The provider is 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. INTEGRATED CARE PHARMACY NPI is 1306184031. The provider is registered as an organization entity type.
The provider Is Doing Business As Integrated Care Pharmacy.

The provider's business location address is:

222 STONE CT
NEW LENOX, IL
ZIP 60451-598
Phone: (224) 360-6100

The provider's authorized official is Anthony Panici .
The authorized official title is Pharmacist In Charge and has the following contact phone number (224) 360-6100.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 4/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy054018100ILLINOISNo
23336C0004XPharmacyCompounding Pharmacy054018100ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12138272OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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