Fagen Pharmacy 15 is not a DME supplier for medicare equipments and products.
Fagen Pharmacy 15 is a Long Term Care Pharmacy in Mokena, Illinois. It is located at 11112 Front St, Mokena and it's customer support contact number is 708-479-9333. The authorized person of Fagen Pharmacy 15 is Larry Wojcik who is 3rd Party Coord of the pharmacy and his contact number is 219-987-6468. Fagen Pharmacy 15 is 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.
Pharmacy Details:
Fagen Pharmacy 15 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Fagen Pharmacy 15
Type:
Long Term Care Pharmacy
Location:
11112 Front St, Mokena, Illinois, 60448-1562
Phone:
708-479-9333
Fax:
708-479-5633
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Larry Wojcik
Position:
3rd Party Coord
Contact Number:
219-987-6468
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1861413189
NPI Enumeration Date:
21 Jul, 2006
NPI Last Update On:
11 Sep, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fagen Pharmacy 15 are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
Primary
Pharmacy
54014975
Illinois
Secondary
Community/Retail Pharmacy
Secondary
Mail Order Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1475880
Other
Other Id Number-commercial Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fagen Pharmacy, Po Box 9830 Salt Lake City, Utah
Zip:
84109-9913
Phone Number:
--
Fax Number:
--
Patients can reach Fagen Pharmacy 15 at 11112 Front St, Mokena, Illinois or can call on customer care at 708-479-9333.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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