MEDICARE: VICS PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	051029448	IL

General Provider Information

NPI Number	:	1053425264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICS PHARMACY

Provider Business Mailing Address
First Line	:	1313 W MORSE AVE UNIT B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-3521
Country	:	US
Telephone Number	:	773-764-0044
Fax Number	:	773-764-1126

Provider Business Practice Location Address
First Line	:	1313 W MORSE AVE UNIT B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-3521
Country	:	US
Telephone Number	:	773-764-0044
Fax Number	:	773-764-1126

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD MBACHU
Credential	:	PHARMACIST
Telephone Number	:	773-764-0044

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	08/27/2008

Similar Medicare Providers

1376784793 — AMERICAN ALLIED HOME HEALTHCARE, INC
Practice Location Address:

1313 W MORSE AVE
CHICAGO, IL
60626-3521

Practice Phone: 773-704-1448
Practice Fax:

1992138226 — VICS PHARMACY INC
Practice Location Address:

1313 W MORSE AVE UNIT B
CHICAGO, IL
60626-3521

Practice Phone: 773-764-0044
Practice Fax: 773-764-1126

1407989072 — KRISTINE TERESA OLIVAS MFT
Practice Location Address:

11164 S SAINT LOUIS AVE
CHICAGO, IL
60655-3521

Practice Phone: 773-957-5352
Practice Fax:

1346460243 — F. R. CAVERO, D.D.S. & ASSOCIATES, P.C.
Practice Location Address:

3521 N ELSTON AVE
CHICAGO, IL
60618-5617

Practice Phone: 773-588-7645
Practice Fax:

1447470323 — DR. FRANCES R. CAVERO D.D.S.
Practice Location Address:

3521 N ELSTON AVE
CHICAGO, IL
60618-5617

Practice Phone: 773-588-7645
Practice Fax:

1265600225 — SARAH J GAST
Practice Location Address:

3521 N RETA AVE APT 1
CHICAGO, IL
60657-1797

Practice Phone: 317-979-2660
Practice Fax:

Directions to “VICS PHARMACY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.