Organization
BYRD WATSON DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY N BREEZE RPH (OWNER PRES)
(618) 532-2200
Entity
Organization
Contact information
Practice address
1071 W BROADWAY, CENTRALIA, IL 62801-5309
(618) 532-2200
(618) 533-0566
Mailing address
1071 W BROADWAY, CENTRALIA, IL 62801-5309
(618) 532-2200
(618) 533-0566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1436977
NCPDP
—
Enumeration date
10/25/2005
Last updated
12/12/2016
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