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.
Organization
ALTON MEMORIAL HOSPITAL
Active
Organization
ALTON MEMORIAL HOSPITAL
Active
Other names
FAMILY CARE PHARMACY AT ALTON MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRAASCH (PRESIDENT)
(618) 463-7301
Entity
Organization
Contact information
Practice address
1 MEMORIAL DR, ROOM G247, ALTON, IL 62002-6722
(618) 463-7865
(618) 463-7884
Mailing address
1 MEMORIAL DR, ROOM G247, ALTON, IL 62002-6722
(618) 463-7865
(618) 463-7884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054011644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022352
PK
—
Enumeration date
08/22/2006
Last updated
03/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers