Organization
WEBSTER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROGOWIN (OWNER)
(773) 381-4630
Entity
Organization
Contact information
Practice address
3105 7 S WALLACE ST, CHICAGO, IL 60616-3597
(312) 567-1490
(312) 567-0651
Mailing address
3105 7 S WALLACE ST, CHICAGO, IL 60616-3597
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1464483
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
361389858002
—
IL
Enumeration date
07/24/2006
Last updated
09/11/2025
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