Provider Demographics
NPI:1407993025
Name:DAGGETT, CRAIG JAMES (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:JAMES
Last Name:DAGGETT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1872 N CLYBOURN AVE
Mailing Address - Street 2:#113
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4964
Mailing Address - Country:US
Mailing Address - Phone:773-454-4792
Mailing Address - Fax:847-256-2675
Practice Address - Street 1:333 RIDGE RD
Practice Address - Street 2:PARKWAY DRUGS
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-3217
Practice Address - Country:US
Practice Address - Phone:847-256-1000
Practice Address - Fax:847-256-2675
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist