Medicate Pharmacy Shoppes INC
NPI #1598855926 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1598855926
- Entity Type
- Organization
- Organization Name
- Medicate Pharmacy Shoppes INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7602 STATE ST
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62203-1708
- Phone
- (618) 397-3331
Authorized Official
- Name
- MR. LAWRENCE L WISEMAN JR., PHARMACIST
- Title
- OWNER PHARMACIST
- Phone
- (618) 397-3331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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