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 |