Demotte Drugs Inc
LBN: Fagen Pharmacy 15
Demotte Drugs Inc is an health care organization with primary practice located at 11112 Front St , Mokena IL 60448-1562. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Fagen Pharmacy 15 can be contacted via phone (708) 479-9333, or through Wojcik, Larry via phone (219) 987-6468.
Contact Information
Primary practice address
11112 Front St
Mokena IL 60448-1562
Phone: (708) 479-9333
Fax: (708) 479-5633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 54014975 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1861413189 |
|---|---|
| LBN Legal business name | Fagen Pharmacy 15 |
| DBA Doing business as | Demotte Drugs Inc |
| Authorized official | Wojcik, Larry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861413189 | NPPES |
| Other | 1475880 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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