Medicate Pharmacy, Inc

NPI 1063418523 - Pharmacy - 3336C0003X

NPI Details
NPI 1063418523
Enumeration Date 06/21/2005
Last Updated 08/10/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL L. MICHAEL
Position OWNER
Phone (618) 875-1000
Fax (618) 875-2540
Practice Location
100 N 8TH ST
STE 100
EAST SAINT LOUIS IL, 62201-2989, US
Phone (618) 875-1000
Fax (618) 875-2540
Business Location
100 N 8TH ST
SUITE 100
EAST SAINT LOUIS IL, 62201-2989, US
Phone (618) 875-1000
Fax (618) 875-2540
Toxanomy
Taxonomy Code 3336C0003X
License State Illinois
License Number 054-014315
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According to our database, Medicate Pharmacy, Inc NPI is 1063418523, taxonomy code is 3336C0003X and license number is 054-014315, license state is located at Illinois. Medicate Pharmacy, Inc physically located at 100 N 8th St, East Saint Louis IL, 62201-2989. NPI Number 1033115704 has the healthcare provider type.

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1063418523 NPI number is provided on an as is basis without warranty of any kind. 1063418523 is maintained by the National Plan & Provider Enumeration System. The contents of Medicate Pharmacy, Inc are for informational purposes only.