Organization
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Memorial Hospital Pharmacy Shiloh
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C KOESTERER (CHIEF FINANCIAL OFFICER)
(314) 653-5034
Entity
Organization
Contact information
Practice address
1418 CROSS ST, SHILOH, IL 62269-2914
(618) 607-1419
Mailing address
1418 CROSS ST, SHILOH, IL 62269-2914
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/28/2024
Last updated
04/01/2024
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