Wauconda Pharmacy, Inc.
Durable Medical Equipment & Medical Supplies
222 S Main St, Wauconda
Illinois, 60084-1828
847-526-2591 847-526-1598
Wauconda Pharmacy, Inc. is a Durable Medical Equipment & Medical Supplies in Wauconda, Illinois. It is located at 222 S Main St, Wauconda and it's customer support contact number is 847-526-2591. The authorized person of Wauconda Pharmacy, Inc. is Terry J Bruner who is Manager of the pharmacy and his contact number is 847-526-2591. Active license number of Wauconda Pharmacy, Inc. is 054-006291 for Durable Medical Equipment & Medical Supplies in Illinois.
Wauconda Pharmacy, Inc. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Pharmacy Details:
Wauconda Pharmacy, Inc. 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: | Wauconda Pharmacy, Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 222 S Main St, Wauconda,
Illinois, 60084-1828 |
| Phone: | 847-526-2591 |
| Fax: | 847-526-1598 |
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: | Terry J Bruner |
| Position: | Manager |
| Contact Number: | 847-526-2591 |
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: | 1568571420 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 07 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wauconda Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 054-006291 | Illinois | Primary | |
| Customized Equipment | 054-006291 | Illinois | Secondary | |
| Parenteral & Enteral Nutrition | 054-006291 | Illinois | Secondary | |
| Oxygen Equipment & Supplies | 054-006291 | Illinois | Secondary | |
| Pharmacy | 054-006291 | Illinois | Secondary | |
| Community/Retail Pharmacy | 054-006291 | Illinois | Secondary | |
| Home Infusion Therapy Pharmacy | 054-006291 | Illinois | Secondary | |
| Long Term Care Pharmacy | 054-006291 | Illinois | Secondary | |
| Mail Order Pharmacy | 054-006291 | Illinois | Secondary | |
| Specialty Pharmacy | 054-006291 | Illinois | 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 |
| IL3147 | Other | Illinois | Medicare Part B |
| 1428196 | Other | Illinois | Bcbs Pharmacy |
| 36368683001 | Medicaid | Illinois | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5047,
Meridian, Mississippi |
| Zip: | 39302-5047 |
| Phone Number: | 800-447-4095 |
| Fax Number: | 601-482-7490 |
Patients can reach Wauconda Pharmacy, Inc. at
222 S Main St, Wauconda, Illinois or can
call on customer care at 847-526-2591.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.