Organization
WOODWARD CJS PHARMACY INC
Active
Parent organization
WOODWARD - CJS PHARMACY, INC.
Other names
LONG TERM CARE ONLY THE MEDICINE SHOPPE #62, LONG TERM CARE THE MEDICINE SHOPPE, LONG TERM CARE THE MEDICINE SHOPPE #62
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODWARD - CJS PHARMACY, INC.
Authorized official
JILL WOODWARD (OWNER/PIC)
(618) 259-0085
Entity
Organization
Contact information
Practice address
901 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1823
(618) 259-0085
(618) 259-0089
Mailing address
901 E EDWARDSVILLE RD, WOOD RIVER, IL 62095-1823
(618) 259-0085
(618) 259-0089
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
054015916
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177390
PK
—
Enumeration date
05/07/2018
Last updated
06/08/2020
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