Medicate Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Washington Park, IL
NPI 1841245404 · NPPES record last updated Aug 8, 2011
Key facts
- NPI
- 1841245404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054014315 (IL)
- Legal business name
- MEDICATE PHARMACY INC
- Practice address
- 1833 Kingshighway
Washington Park, IL 62204-2135 - Phone
- (618) 874-3000
- Fax
- (618) 874-3103
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Lee Schaltenbrand, R.PH.
- Title
- President
- Phone
- (618) 874-3000
Member of 1
Practitioners 2
-
Molly Hood, PHARMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054014315 | IL | Yes |
Addresses
Primary practice location
1833 Kingshighway
Washington Park, IL 62204-2135
Mailing address
1833 Kingshighway
Washington Park, IL 62204-2135
Phone (618) 874-3000
Other providers in Washington Park, IL
- Terry Michael Maddox
- Michael Lee Schaltenbrand
- Scott Christopher Schultz
- Southern Il Regional Wellness Center
- Southern Illinois Regional Wellness Center
- Steven Lyle Wagner
All providers in Washington Park, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.