| NPI | 1093707903 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALBERT DANIEL PELATE Owner Manager 618-451-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 54014022) |
| 333600000X Pharmacy (Licence: IL 54014022) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2023-03-07 |