NPI 1306184031

Integrated Care Pharmacy

Organisation Compounding Pharmacy New Lenox, IL

Practice location

Address: 222 Stone CT, New Lenox, IL 60451-1598
Phone: (224) 360-6100
Mailing address: 222 Stone Court, New Lenox, IL 60451

Authorised official

Name: Anthony Panici
Title: Pharmacist in Charge
Phone: (224) 360-6100

Registered specialties (2)

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence 054018100 (IL)

Other Pharmacy providers in Illinois →

Community/Retail Pharmacy

Suppliers Taxonomy 3336C0003X Licence 054018100 (IL)

Registry record

NPI: 1306184031
Entity type: Organization
NPI issued: 31 Jan 2013
Record last updated: 7 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.