Organization
BWE & TME INC
Active
Other names
MILLSTADT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WHITWORTH RPH (OWNER)
(618) 343-2525
Entity
Organization
Contact information
Practice address
120 W WASHINGTON ST, MILLSTADT, IL 62260-1156
(618) 476-1701
(618) 476-1709
Mailing address
120 W WASHINGTON ST, MILLSTADT, IL 62260-1156
(618) 476-1701
(618) 476-1709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054016160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023592
PK
—
Enumeration date
08/06/2007
Last updated
10/30/2023
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