Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Byrd-Watson Times Square Drug Co

Organization Long Term Care Pharmacy · NPI 1043997182

Byrd-Watson Times Square Drug Co is a Long Term Care Pharmacy in Mount Vernon, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3401 Broadway St
Mount Vernon, IL 62864-2201
Phone: (618) 244-5400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1043997182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Breeze — Officer Of The Corporation · (618) 244-5400
Other names Byrd-Watson Pharmacy Ltc
NPI enumeratedJune 30, 2023
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing addressPo Box 1179, Mount Vernon, IL 62864-0024

Other providers in Mount Vernon