Fagen Pharmacy 15 in Mokena - Long Term Care Pharmacy
Fagen Pharmacy 15 - NPI 1861413189
Fagen Pharmacy 15 is a Long Term Care Pharmacy in Mokena, Illinois. Fagen Pharmacy 15 practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Fagen Pharmacy 15 is 1861413189. The last update date is 2020-08-22.
Fagen Pharmacy 15's current location address is 11112 Front St, Mokena, Illinois. You can contact this provider via phone number 7084799333 and fax number 7084795633. The mailing address for Fagen Pharmacy 15 is 11112 Front St, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fagen Pharmacy 15 |
|---|---|
| Address | 11112 Front St, Mokena, Illinois |
| Phone Number | 7084799333 |
| Fax Number | 7084795633 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | 3RD PARTY |
|---|---|
| Authorized Official Name | Wojcik Larry |
| Telephone Number | 2199876468 |
NPI Number Detail
| NPI Number | 1861413189 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11112 Front St |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 604481562 |
| Phone Number | 7084799333 |
| Fax Number | 7084795633 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1475880 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Fagen Pharmacy 15 by the Centers for Medicare & Medicaid Services?
The Fagen Pharmacy 15 has been issued the NPI (National Provider Identifier) 1861413189 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Fagen Pharmacy 15?
The Fagen Pharmacy 15 is physically situated at 11112 Front St, in the city of Mokena, state of IL, with the postal code 604481562.
What is Fagen Pharmacy 15's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fagen Pharmacy 15 is Long Term Care Pharmacy, and the taxonomy code that classifies this field of practice is 3336L0003X.
On what date was the 1861413189 assigned to Fagen Pharmacy 15?
The Fagen Pharmacy 15 was issued its 1861413189 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Fagen Pharmacy 15, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fagen Pharmacy 15, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.