Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SCHOLL PHARMACY INC
Active
Organization
SCHOLL PHARMACY INC
Active
Other names
FAGEN PHARMACY 17
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE COFFER (3RD PARTY COORD)
(219) 987-6468
Entity
Organization
Contact information
Practice address
4840 W COURT ST, MONEE, IL 60449-8988
(708) 534-3343
(708) 534-1638
Mailing address
FAGEN PHARMACY, PO BOX 9830, SALT LAKE CITY, UT 84109-9913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
54014974
IL
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475905
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/21/2006
Last updated
05/21/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers