Organization
MEDWIZ SPECIALTY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NEWHOUSE (OWNER)
(845) 624-8080
Entity
Organization
Contact information
Practice address
940 S FRONTAGE RD STE 500, WOODRIDGE, IL 60517-5035
(630) 580-1700
Mailing address
167 ROUTE 304, BARDONIA, NY 10954-2050
(630) 580-1700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
08/20/2025
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