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
—
—
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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