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Organization
MDM HEALTHCARE INC
Active
Organization
MDM HEALTHCARE INC
Active
Other names
ofallon pharmacy medicine shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA EPPS RPH (SECRETARY)
(618) 632-8309
Entity
Organization
Contact information
Practice address
122 W STATE STREET, OFALLON, IL 62269
(618) 632-8309
Mailing address
122 W STATE STREET, OFALLON, IL 62269
(618) 632-8309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054018756
IL
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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