National Provider Identifier Database

WAUCONDA PHARMACY INC
Durable Medical Equipment & Medical Supplies

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.


NPI Profile & details for WAUCONDA PHARMACY, INC.

NPI Number 1568571420
Legal business name
LBN
WAUCONDA PHARMACY, INC.
Authorized official TERRY BRUNER - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 11/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 054-006291
  • IL Medicaid: 36368683001
  • IL Other: 1428196 BCBS PHARMACY
  • IL Other: IL3147 MEDICARE PART B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for WAUCONDA PHARMACY, INC.

There are currently no reviews for WAUCONDA PHARMACY, INC.


NPIdb - Home
v2.201