NPI | 1598775413 |
---|---|
Doing Business As | BYRD-WATSON PHARMACY |
Entity Type | Organization |
Authorized Contact | ADAM BREEZE Officer Of The Corporation 618-244-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.009959) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054009959) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2025-04-08 |