Healthcare Provider Details

I. General information

NPI: 1407993025
Provider Name (Legal Business Name): CRAIG JAMES DAGGETT PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 RIDGE RD PARKWAY DRUGS
WILMETTE IL
60091-3217
US

IV. Provider business mailing address

1872 N CLYBOURN AVE #113
CHICAGO IL
60614-4964
US

V. Phone/Fax

Practice location:
  • Phone: 847-256-1000
  • Fax: 847-256-2675
Mailing address:
  • Phone: 773-454-4792
  • Fax: 847-256-2675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: