1568571420 WAUCONDA PHARMACY, INC.

Durable Medical Equipment & Medical Supplies

Active

Basic Information

Organization Name
WAUCONDA PHARMACY, INC.
Enumeration Date
August 30, 2006
Last Update
November 7, 2011
Authorized Official
TERRY J BRUNER
MANAGER
Phone: (847) 526-2591

Practice Location

Address
222 S MAIN ST
WAUCONDA, IL 600841828
Phone
(847) 526-2591
Fax
(847) 526-1598

Mailing Address

Address
PO BOX 5047
MERIDIAN, MS 393025047
Phone
(800) 447-4095
Fax
(601) 482-7490

Specialties & Taxonomies

Specialty Code Classification License State Primary
Customized Equipment (DME)
Customized Equipment
332BC3200X Durable Medical Equipment & Medical Supplies 054-006291 IL No
Parenteral & Enteral Nutrition Supplies (DME)
Parenteral & Enteral Nutrition
332BP3500X Durable Medical Equipment & Medical Supplies 054-006291 IL No
Oxygen Equipment & Supplies (DME)
Oxygen Equipment & Supplies
332BX2000X Durable Medical Equipment & Medical Supplies 054-006291 IL No
Pharmacy
333600000X Pharmacy 054-006291 IL No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 054-006291 IL No
Home Infusion Therapy Pharmacy
Home Infusion Therapy Pharmacy
3336H0001X Pharmacy 054-006291 IL No
Long Term Care Pharmacy
Long Term Care Pharmacy
3336L0003X Pharmacy 054-006291 IL No
Mail Order Pharmacy
Mail Order Pharmacy
3336M0002X Pharmacy 054-006291 IL No
Specialty Pharmacy
Specialty Pharmacy
3336S0011X Pharmacy 054-006291 IL No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies 054-006291 IL Primary

Other Identifiers

Identifier Type State Issuer
IL3147 01 IL MEDICARE PART B
1428196 01 IL BCBS PHARMACY
36368683001 05 IL N/A

Frequently Asked Questions

What is WAUCONDA PHARMACY, INC.'s NPI number?
WAUCONDA PHARMACY, INC.'s NPI number is 1568571420.
Which doctor has NPI number 1568571420?
The doctor with NPI number 1568571420 is WAUCONDA PHARMACY, INC..
What is WAUCONDA PHARMACY, INC.'s practice address?
WAUCONDA PHARMACY, INC.'s practice address is 222 S MAIN ST, WAUCONDA, IL, 600841828.
Which doctor practices at 222 S MAIN ST, WAUCONDA, IL, 600841828?
WAUCONDA PHARMACY, INC. practices at 222 S MAIN ST, WAUCONDA, IL, 600841828.
What is WAUCONDA PHARMACY, INC.'s mailing address?
WAUCONDA PHARMACY, INC.'s mailing address is PO BOX 5047, MERIDIAN, MS, 393025047.
What is WAUCONDA PHARMACY, INC.'s phone number?
WAUCONDA PHARMACY, INC.'s phone number is (847) 526-2591.
Who is (847) 526-2591?
(847) 526-2591 is the phone number for WAUCONDA PHARMACY, INC..
What is WAUCONDA PHARMACY, INC.'s specialty?
WAUCONDA PHARMACY, INC.'s specialty is Durable Medical Equipment & Medical Supplies.
What type of doctor is WAUCONDA PHARMACY, INC.?
WAUCONDA PHARMACY, INC. is a Durable Medical Equipment & Medical Supplies.
Is WAUCONDA PHARMACY, INC. a Durable Medical Equipment & Medical Supplies?
Yes, WAUCONDA PHARMACY, INC. is a Durable Medical Equipment & Medical Supplies.
Is WAUCONDA PHARMACY, INC. still practicing?
Yes, WAUCONDA PHARMACY, INC. is currently practicing.
Is WAUCONDA PHARMACY, INC. accepting new patients?
WAUCONDA PHARMACY, INC. may be accepting new patients. Please call their office at (847) 526-2591 to inquire about availability.
Is NPI 1568571420 still active?
Yes, NPI 1568571420 is currently active.
Where does WAUCONDA PHARMACY, INC. practice?
WAUCONDA PHARMACY, INC. practices in WAUCONDA, IL.