Individual
JASON WAYNE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
757 N MICHIGAN AVE, CHICAGO, IL 60611-2606
(312) 664-8686
Mailing address
2932 S WALLACE ST, CHICAGO, IL 60616-3035
(916) 715-3661
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.220784
IL
Other
Enumeration date
07/01/2017
Last updated
07/01/2017
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