# PROTESTANT MEMORIAL MEDICAL CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hospital Pharmacy Shiloh
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154172211
- **Authorized official:** SUSAN C KOESTERER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (314) 653-5034

## Contact information

- **Practice address:** 1418 CROSS ST, SHILOH, IL 62269-2914
- **Practice address phone:** (618) 607-1419
- **Mailing address:** 1418 CROSS ST, SHILOH, IL 62269-2914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 04/01/2024