Medicate Pharmacy & Dme

NPI #1720027550 in Cahokia, Illinois

Provider Information

NPI Number: 1720027550
Entity Type: Organization
Organization Name: Medicate Pharmacy & Dme
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 6, 2006
Last Updated: Jan 16, 2013

Practice Location

Address: 911 WATER ST
City: Cahokia
State: Illinois
ZIP Code: 62206-1614
Phone: (618) 482-2002

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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