Organization
PAUL DAVIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVIS (OWNER)
(773) 489-2383
Entity
Organization
Contact information
Practice address
3624 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1138
(773) 489-2383
(773) 489-2384
Mailing address
3624 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1138
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
54000727
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400251
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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