Organization
BYRD-WATSON TIMES SQUARE DRUG CO
Active
Other names
Byrd-Watson Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BREEZE (OFFICER OF THE CORPORATION)
(618) 244-5400
Entity
Organization
Contact information
Practice address
3401 BROADWAY ST, MOUNT VERNON, IL 62864-2201
(618) 244-5400
Mailing address
PO BOX 1179, MOUNT VERNON, IL 62864-0024
(618) 244-5400
(618) 244-5409
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
04/08/2025
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