Watt Brothers Pharmacy

LBN: Watt Bros Pharmacy Inc
Watt Brothers Pharmacy is an health care organization with primary practice located at 830 N Grand Ave E , Springfield IL 62702-3933. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Watt Bros Pharmacy Inc can be contacted via phone (217) 522-3331, or through Watt, John via phone (217) 522-3331.

Contact Information

Primary practice address
830 N Grand Ave E Springfield IL 62702-3933
Phone: (217) 522-3331
Fax: (217) 522-9029
Website:
Map and Directions
Authorized official contact:
Name: Watt, John RPH
Phone: (217) 522-3331

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Pharmacy 333600000X Illinois

Profile Details

NPI number 1053483834
LBN Legal business name Watt Bros Pharmacy Inc
DBA Doing business as Watt Brothers Pharmacy
Authorized official Watt, John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053483834 NPPES
Other 1427601 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 364155418001 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers