Fredericktown Medicate Pharmacy
NPI #1144266651 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1144266651
- Entity Type
- Organization
- Organization Name
- Fredericktown Medicate Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Dec 12, 2008
Practice Location
- Address
- 111 E MAIN ST
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-1123
- Phone
- (573) 783-5508
Authorized Official
- Name
- PATRICK OBRIEN, RPH
- Title
- OWNER
- Phone
- (573) 783-5508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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