Organization · Type 2 NPI
Byrd-Watson Times Square Drug Co
Long Term Care Pharmacy · Mount Vernon, IL
NPI number
1043997182
Active
Practice location
3401 Broadway St
Mount Vernon, IL 62864-2201
Mailing address
PO Box 1179
Mount Vernon, IL 62864-0024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4 other providers at this address
Other long term care pharmacy providers in Mount Vernon
About NPI 1043997182
Byrd-Watson Times Square Drug Co's National Provider Identifier is 1043997182, issued on Jun 30, 2023. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Mount Vernon, IL. The record was last updated on Apr 8, 2025.