# JWA SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simply Pharmacy Long-Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043969629
- **Authorized official:** DR. DAVID DAWEN WU PHARMD (PRESIDENT)
- **Authorized official phone:** (860) 865-1303

## Contact information

- **Practice address:** 92 BOSTON POST RD, WATERFORD, CT 06385-2421
- **Practice address phone:** (860) 865-1303
- **Practice address fax:** (860) 437-7323
- **Mailing address:** 92 BOSTON POST RD, WATERFORD, CT 06385-2421
- **Mailing address phone:** (860) 865-1303
- **Mailing address fax:** (860) 437-7323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/22/2022
- **Last updated:** 03/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008059999 | — | CT |