Organization
MEDICATE PHARMACY SHOPPES INC
Active
Other names
Yociss Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE L WISEMAN JR. PHARMACIST (OWNER PHARMACIST)
(618) 397-3331
Entity
Organization
Contact information
Practice address
7602 STATE ST, EAST SAINT LOUIS, IL 62203-1708
(618) 397-3331
(618) 397-6050
Mailing address
7602 STATE ST, EAST SAINT LOUIS, IL 62203-1708
(618) 397-3331
(618) 397-6050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
BY4765472
IL
Other
Enumeration date
10/14/2006
Last updated
08/22/2020
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