WAUCONDA PHARMACY, INC.

Durable Medical Equipment & Medical Supplies — Customized Equipment

Code: 332BC3200X

Durable Medical Equipment & Medical Supplies — Parenteral & Enteral Nutrition

Code: 332BP3500X

Durable Medical Equipment & Medical Supplies — Oxygen Equipment & Supplies

Code: 332BX2000X

Pharmacy

Code: 333600000X

Pharmacy — Community/Retail Pharmacy

Code: 3336C0003X

Pharmacy — Home Infusion Therapy Pharmacy

Code: 3336H0001X

Pharmacy — Long Term Care Pharmacy

Code: 3336L0003X

Pharmacy — Mail Order Pharmacy

Code: 3336M0002X

Pharmacy — Specialty Pharmacy

Code: 3336S0011X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X