Byrd-Watson Pharmacy

LBN: Byrd-Watson Times Square Drug Co
Byrd-Watson Pharmacy is an health care organization with primary practice located at 3401 Broadway St , Mount Vernon IL 62864-2201. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Byrd-Watson Times Square Drug Co can be contacted via phone (618) 244-5400, or through Breeze, Adam via phone (618) 244-5400.

Contact Information

Primary practice address
3401 Broadway St Mount Vernon IL 62864-2201
Phone: (618) 244-5400
Fax: (618) 244-5988
Website:
Map and Directions
Authorized official contact:
Name: Breeze, Adam
Phone: (618) 244-5400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054009959 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054.009959 Illinois

Profile Details

NPI number 1598775413
LBN Legal business name Byrd-Watson Times Square Drug Co
DBA Doing business as Byrd-Watson Pharmacy
Authorized official Breeze, Adam
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 24th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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