Fagen Pharmacy 15
Long Term Care Pharmacy
11112 Front St, Mokena
Illinois, 60448-1562
708-479-9333 708-479-5633
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: | -- |
Patients can reach Fagen Pharmacy 15 at
11112 Front St, Mokena, Illinois or can
call on customer care at 708-479-9333.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.