Jerseyville Pain Management Center, S.c.
Non-pharmacy Dispensing Site
1702 Vaughn Rd, Wood River
Illinois, 62095-1898
618-259-3321 Jerseyville Pain Management Center, S.c. is not a DME supplier for medicare equipments and products.
Jerseyville Pain Management Center, S.c. is a Non-pharmacy Dispensing Site in Wood River, Illinois. This organization is also known as sub part of Jerseyville Pain Management Center, S.c.. It is located at 1702 Vaughn Rd, Wood River and it's customer support contact number is 618-259-3321. The authorized person of Jerseyville Pain Management Center, S.c. is Dr. Bud Chomhirun, M.D. who is Medical Director of the pharmacy and his contact number is 618-259-3321.
Jerseyville Pain Management Center, S.c. is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Jerseyville Pain Management Center, S.c. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jerseyville Pain Management Center, S.c. |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1702 Vaughn Rd, Wood River, Illinois, 62095-1898 |
| Phone: | 618-259-3321 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Bud Chomhirun |
| Credentials: | M.D. |
| Position: | Medical Director |
| Contact Number: | 618-259-3321 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1255609574 |
| Parent Organization: | Jerseyville Pain Management Center, S.c. |
| NPI Enumeration Date: | 01 Dec, 2011 |
| NPI Last Update On: | 03 Jan, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerseyville Pain Management Center, S.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2980 N Beverly Glen Cir, Suite 301 Los Angeles, California |
| Zip: | 90077-1726 |
| Phone Number: | 310-474-9809 |
Patients can reach Jerseyville Pain Management Center, S.c. at
1702 Vaughn Rd, Wood River, Illinois or can
call on customer care at 618-259-3321.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.