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Fagen Pharmacy 15
Mail Order Pharmacy in Mokena, Illinois
NPI 1861413189

Fagen Pharmacy 15 is a Mail Order Pharmacy based in Salt Lake City, IL and is specialized in Mail Order Pharmacy. Fagen Pharmacy 15 practices in Mokena, IL. The NPI Number for Fagen Pharmacy 15 is 1861413189 and holds a License No. 54014975 (Illinois).

The current practice location address for Fagen Pharmacy 15 is 11112 Front St, Mokena, IL and can be reached out via phone at 708-479-9333 and via fax at 708-479-5633.

Location: 11112 Front St, Mokena, IL, 84109-9913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861413189
Provider Name
Fagen Pharmacy 15
Credential
Provider Entity Type
Organization
Address
11112 Front St, Mokena, IL, 84109-9913
Phone Number
708-479-9333
Fax Number
708-479-5633
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1475880 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
11112 Front St
City
Mokena
State
Illinois
Zip
60448-1562
Phone Number
708-479-9333
Fax Number
708-479-5633
person
Provider Business Mailing Address Details
Address
11112 Front St
City
Mokena
State
Illinois
Zip
60448-1562
Phone Number
708-479-9333
Fax Number
708-479-5633
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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 2
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Mail Order Pharmacy
Taxonomy
3336M0002X
License No.
54014975 (Illinois)
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
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