JWWG Inc
Organization Active NPI Pharmacist · Intercourse, PA
NPI 1194713883 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1194713883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- PP481436 (PA)
- Legal business name
- JWWG INC
- Practice address
- 14 D Center St
Intercourse, PA 17534 - Phone
- (717) 768-2000
- Fax
- (717) 768-3333
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Walter W Godfrey Sr., PHARMACIST
- Title
- Owner/Manager
- Phone
- (717) 768-2000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PP481436 | PA | Yes |
Addresses
Primary practice location
14 D Center St
Intercourse, PA 17534
Mailing address
PO Box 57
14D Center St
Intercourse, PA 17534-0057
Phone (717) 768-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0398419 | Other | PA | PACE |
| 1012843030001 | Medicaid | PA |
Other names
- Country Village Pharmacy
Other providers in Intercourse, PA
- Jangdhari Family Chiropractic PC
- Mary Ellen Pikulski
- Jessica Kathleen Riehl
- Susan E Walther
- Donna M Warren
All providers in Intercourse, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.