Fagen Pharmacy 17

LBN: Scholl Pharmacy Inc
Fagen Pharmacy 17 is an health care organization with primary practice located at 4840 W Court St , Monee IL 60449-8988. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Scholl Pharmacy Inc can be contacted via phone (708) 534-3343, or through Coffer, Connie via phone (219) 987-6468.

Contact Information

Primary practice address
4840 W Court St Monee IL 60449-8988
Phone: (708) 534-3343
Fax: (708) 534-1638
Website:
Map and Directions
Authorized official contact:
Name: Coffer, Connie
Phone: (219) 987-6468

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 54014974 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1770504094
LBN Legal business name Scholl Pharmacy Inc
DBA Doing business as Fagen Pharmacy 17
Authorized official Coffer, Connie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated May 21st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770504094 NPPES
Other 1475905 OTHER ID NUMBER-COMMERCIAL NUMBER

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