# WOODWARD - CJS PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396759445
- **Authorized official:** DR. JILL WOODWARD PHARMD (OWNER/PRESIDENT)
- **Authorized official phone:** (618) 259-0085

## Contact information

- **Practice address:** 901 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1823
- **Practice address phone:** (618) 259-0085
- **Mailing address:** 901 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1823
- **Mailing address phone:** (618) 259-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 05415916 | IL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 054015916 | IL | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 03/07/2023