NPI 1144266651
Fredericktown Medicate Pharmacy
Practice location
- Address
- 111 E Main St, Fredericktown, MO 63645-1123
- Phone
- (573) 783-5508
- Fax
- (573) 783-3289
Authorised official
- Name
- Patrick Obrien
- Title
- Owner
- Phone
- (573) 783-5508
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1144266651
- Entity type
- Organization
- NPI issued
- 22 Jun 2006
- Record last updated
- 12 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.