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Wauconda Pharmacy Inc
Home Infusion Therapy Pharmacy in Wauconda, Illinois
NPI 1831274513

Wauconda Pharmacy Inc is a Home Infusion Therapy Pharmacy based in Wauconda, IL and is specialized in Home Infusion Therapy Pharmacy. Wauconda Pharmacy Inc practices in Wauconda, IL. The NPI Number for Wauconda Pharmacy Inc is 1831274513 and holds a License No. (Illinois).

The current practice location address for Wauconda Pharmacy Inc is 222 S Main St, Wauconda, IL and can be reached out via phone at 847-526-2591 and via fax at 847-526-1598.

Location: 222 S Main St, Wauconda, IL, 60084-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831274513
Provider Name
Wauconda Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
222 S Main St, Wauconda, IL, 60084-1828
Phone Number
847-526-2591
Fax Number
847-526-1598
Provider Enumeration Date
10/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1428196 01 IL BCBS PHARMACY
IL3147 01 IL MEDICARE PART B
1428196 01 OTHER ID NUMBER
362686883001 05 IL
institution
Provider Business Practice Location Address Details
Address
222 S Main St
City
Wauconda
State
Illinois
Zip
60084-1828
Phone Number
847-526-2591
Fax Number
847-526-1598
person
Provider Business Mailing Address Details
Address
222 S Main St
City
Wauconda
State
Illinois
Zip
60084-1828
Phone Number
847-526-2591
Fax Number
847-526-1598
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
054006291 (Illinois)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
()
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
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