# DEWAYNE DRUGS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Barcus Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063447126
- **Authorized official:** MR. ARTHUR EDWARD DE PESA (MANAGER)
- **Authorized official phone:** (708) 425-2400

## Contact information

- **Practice address:** 4708 W 103RD ST, OAK LAWN, IL 60453-4706
- **Practice address phone:** (708) 425-2400
- **Practice address fax:** (708) 425-3126
- **Mailing address:** 4708 W 103RD ST, OAK LAWN, IL 60453-4706
- **Mailing address phone:** (708) 425-2400
- **Mailing address fax:** (708) 425-3126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054009780 | IL | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 04/20/2008
