Organization
JW PHARMACY & DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAFA DAKI PHARM.D. (PRESIDENT)
(708) 588-0300
Entity
Organization
Contact information
Practice address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525
(708) 588-0300
Mailing address
PO BOX 744, LA GRANGE, IL 60525-0744
(708) 588-0300
(708) 588-0302
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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