Healthcare Provider Details

I. General information

NPI: 1891729059
Provider Name (Legal Business Name): DWIGHT DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W WAUPANSIE ST
DWIGHT IL
60420-1272
US

IV. Provider business mailing address

401 W WAUPANSIE ST
DWIGHT IL
60420-1272
US

V. Phone/Fax

Practice location:
  • Phone: 815-584-3330
  • Fax: 815-584-5113
Mailing address:
  • Phone: 815-584-3330
  • Fax: 815-584-5113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIL

VIII. Authorized Official

Name: JULIE RAMZA
Title or Position: PRESIDENT
Credential: RPH
Phone: 815-584-3330