Organization
WHITWORTH DRUG INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY WHITWORTH RPH (OWNER PHARMACIST)
(618) 654-4446
Entity
Organization
Contact information
Practice address
801 BROADWAY, HIGHLAND, IL 62249-1801
(618) 654-4446
(618) 654-3215
Mailing address
801 BROADWAY, HIGHLAND, IL 62249-1801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
05410079
IL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1460245
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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