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

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone 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

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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.