Long Term Care Only The Medicine Shoppe #62

LBN: Woodward Cjs Pharmacy Inc
Long Term Care Only The Medicine Shoppe #62 is an health care organization with primary practice located at 901 E Edwardsville Rd , Wood River IL 62095-1823. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Woodward Cjs Pharmacy Inc can be contacted via phone (618) 259-0085, or through Woodward, Jill via phone (618) 259-0085.

Contact Information

Primary practice address
901 E Edwardsville Rd Wood River IL 62095-1823
Phone: (618) 259-0085
Fax: (618) 259-0089
Website:
Map and Directions
Authorized official contact:
Name: Woodward, Jill
Phone: (618) 259-0085

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 054015916 Illinois

Profile Details

NPI number 1437648342
LBN Legal business name Woodward Cjs Pharmacy Inc
DBA Doing business as Long Term Care Only The Medicine Shoppe #62
Authorized official Woodward, Jill
Entity Organization
Organization subpart 1 Yes
Enumeration date May 7th, 2018
Last updated Jun 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437648342 NPPES
Other 2177390 PK

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