Organization
MEDICATE PHARMACY & DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEE SCHALTENBRAND R.PH. (PRESIDENT)
(618) 875-1000
Entity
Organization
Contact information
Practice address
911 WATER ST, CAHOKIA, IL 62206-1614
(618) 482-2002
(618) 215-0653
Mailing address
911 WATER ST, CAHOKIA, IL 62206-1614
(618) 482-2002
(618) 215-0653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203000739
IL
Other
Enumeration date
06/06/2006
Last updated
01/16/2013
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