Wauconda Pharmacy, Inc.

NPI 1568571420 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1568571420
Enumeration Date 08/30/2006
Last Updated 11/07/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TERRY J TERRY
Position MANAGER
Phone (847) 526-2591
Fax (847) 526-1598
Practice Location
222 S MAIN ST
WAUCONDA IL, 60084-1828, US
Phone (847) 526-2591
Fax (847) 526-1598
Business Location
PO BOX 5047
MERIDIAN MS, 39302-5047, US
Phone (800) 447-4095
Fax (601) 482-7490
Toxanomy
Taxonomy Code 332BC3200X
License State Illinois
License Number 054-006291
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According to our database, Wauconda Pharmacy, Inc. NPI is 1568571420, taxonomy code is 332BC3200X and license number is 054-006291, license state is located at Illinois. Wauconda Pharmacy, Inc. physically located at 222 S Main St, Wauconda IL, 60084-1828. NPI Number 1033115704 has the healthcare provider type.

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1568571420 NPI number is provided on an as is basis without warranty of any kind. 1568571420 is maintained by the National Plan & Provider Enumeration System. The contents of Wauconda Pharmacy, Inc. are for informational purposes only.