# MEDWIZ SPECIALTY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538742622
- **Authorized official:** ERIC NEWHOUSE (OWNER)
- **Authorized official phone:** (845) 624-8080

## Contact information

- **Practice address:** 940 S FRONTAGE RD STE 500, WOODRIDGE, IL 60517-5035
- **Practice address phone:** (630) 580-1700
- **Mailing address:** 167 ROUTE 304, BARDONIA, NY 10954-2050
- **Mailing address phone:** (630) 580-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 08/20/2025