Medicate Pharmacy INC

NPI #1407244502 in Granite City, Illinois

Provider Information

NPI Number
1407244502
Entity Type
Organization
Organization Name
Medicate Pharmacy INC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDICATE PHARMACY INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 26, 2014
Last Updated
Dec 26, 2014

Practice Location

Address
2166 MADISON AVE
ZIP Code
62040-4700
Phone
(618) 875-1000

Authorized Official

Name
MR. MICHAEL LEE SCHALTENBRAND, R.PH.
Title
PRESIDENT
Phone
(618) 875-1000

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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