Organization
WOODWARD - CJS PHARMACY, INC.
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL WOODWARD PHARMD (OWNER/PRESIDENT)
(618) 259-0085
Entity
Organization
Contact information
Practice address
901 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1823
(618) 259-0085
Mailing address
901 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1823
(618) 259-0085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
05415916
IL
3336L0003X
Long Term Care Pharmacy
054015916
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1452440
NCPDP #
IL
Enumeration date
07/27/2006
Last updated
03/07/2023
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