MEDICARE: JWWG INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PP481436	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0398419	OTHER	PA	PACE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194713883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JWWG INC

Provider Business Mailing Address
First Line	:	PO BOX 57
Second Line	:	14D CENTER ST
City	:	INTERCOURSE
State	:	PA
Zip	:	17534-0057
Country	:	US
Telephone Number	:	717-768-2000
Fax Number	:	717-768-3333

Provider Business Practice Location Address
First Line	:	14 D CENTER ST
Second Line	:
City	:	INTERCOURSE
State	:	PA
Zip	:	17534
Country	:	US
Telephone Number	:	717-768-2000
Fax Number	:	717-768-3333

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MR. WALTER W GODFREY SR.
Credential	:	PHARMACIST
Telephone Number	:	717-768-2000

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1922098128 — DONNA M WARREN PA
Practice Location Address:

3540 OLD PHILADELPHIA PIKE
INTERCOURSE, PA
17534-7008

Practice Phone: 610-456-7027
Practice Fax: 610-424-7614

1497893846 — MS. SUSAN E WALTHER M.S., C.G.C.
Practice Location Address:

PO BOX 500
INTERCOURSE, PA
17534-0500

Practice Phone: 717-687-9407
Practice Fax: 717-687-9237

1073774220 — DR. MARY ELLEN PIKULSKI DO
Practice Location Address:

PO BOX 536
INTERCOURSE, PA
17534-0536

Practice Phone: 610-456-7027
Practice Fax: 610-424-7614

1093953317 — DR. JESSICA KATHLEEN RIEHL D.C.
Practice Location Address:

7 CENTER STREET
INTERCOURSE, PA
17534-0000

Practice Phone: 717-768-7148
Practice Fax: 717-768-7149

1376835637 — JANGDHARI FAMILY CHIROPRACTIC PC
Practice Location Address:

7 CENTER STREET
INTERCOURSE, PA
17534-0067

Practice Phone: 717-768-7148
Practice Fax: 717-768-7149

1154541837 — THE CLINIC FOR SPECIAL CHILDREN, INC.
Practice Location Address:

20 COMMUNITY LANE
GORDONVILLE, PA
17529

Practice Phone: 717-687-9407
Practice Fax: 717-687-9237

Directions to “JWWG INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.