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Organization
WATSONS DRUG STORE INC
Active
Organization
WATSONS DRUG STORE INC
Active
Other names
WATSONS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
BART CALDIORARO RPH (OWNER)
(618) 664-3600
Entity
Organization
Contact information
Practice address
214 W MAIN ST, GREENVILLE, IL 62246-1736
(618) 664-3600
(618) 664-2820
Mailing address
214 W MAIN ST, GREENVILLE, IL 62246-1736
(618) 664-3600
(618) 664-2820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
054016117
IL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023334
PK
—
Enumeration date
02/06/2007
Last updated
02/20/2017
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