# MEDICATE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDICATE PHARMACY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407244502
- **Legal business name:** MEDICATE PHARMACY INC
- **Authorized official:** MR. MICHAEL LEE SCHALTENBRAND R.PH. (PRESIDENT)
- **Authorized official phone:** (618) 875-1000

## Contact information

- **Practice address:** 2166 MADISON AVE, GRANITE CITY, IL 62040-4700
- **Practice address phone:** (618) 875-1000
- **Practice address fax:** (618) 875-8912
- **Mailing address:** 2166 MADISON AVE, GRANITE CITY, IL 62040-4700
- **Mailing address phone:** (618) 875-1000
- **Mailing address fax:** (618) 875-8912

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2014
- **Last updated:** 12/26/2014