Fagen Pharmacy 15
Fagen Pharmacy 15 is a Pharmacy in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
11112 Frnt STMokena, IL 60448-1562
Phone: (708) 479-9333
Fax: (708) 479-5633
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence 54014975 (IL) |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
| Mail Order Pharmacy | Taxonomy 3336M0002X |
Record details
| NPI number | 1861413189 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Wojcik — 3rd Party Coord · (219) 987-6468 |
| Other names | Demotte Drugs Inc |
| NPI enumerated | July 21, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | Fagen Pharmacy, Po Box 9830, Salt Lake City, UT 84109-9913 |
Other providers in Mokena
-
Dr. Skye Brouwer, RPH
11200 Lincoln Hwy, Mokena, IL 60448-8208 · (815) 464-2171