Organization
JWA SERVICES INC
Active
Other names
Simply Pharmacy Long-Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DAWEN WU PHARMD (PRESIDENT)
(860) 865-1303
Entity
Organization
Contact information
Practice address
92 BOSTON POST RD, WATERFORD, CT 06385-2421
(860) 865-1303
(860) 437-7323
Mailing address
92 BOSTON POST RD, WATERFORD, CT 06385-2421
(860) 865-1303
(860) 437-7323
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008059999
—
CT
Enumeration date
03/22/2022
Last updated
03/23/2022
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