Fredericktown Medicate Pharmacy

NPI 1144266651 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1144266651
Enumeration Date 06/22/2006
Last Updated 12/12/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICK PATRICK
Position OWNER
Phone (573) 783-5508
Fax (573) 783-3289
Practice Location
111 E MAIN ST
FREDERICKTOWN MO, 63645-1123, US
Phone (573) 783-5508
Fax (573) 783-3289
Business Location
111 E MAIN ST
FREDERICKTOWN MO, 63645-1123, US
Phone
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Fredericktown Medicate Pharmacy NPI is 1144266651, taxonomy code is 332B00000X Fredericktown Medicate Pharmacy physically located at 111 E Main St, Fredericktown MO, 63645-1123. NPI Number 1033115704 has the healthcare provider type.

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1144266651 NPI number is provided on an as is basis without warranty of any kind. 1144266651 is maintained by the National Plan & Provider Enumeration System. The contents of Fredericktown Medicate Pharmacy are for informational purposes only.