| Terry Michael Maddox, PHARM D | |
| 
					1833 Kingshighway, Suite 200, Washington Park, IL 62204-2135  | |
| (618) 874-3000 | |
| (618) 874-3019 | 
| Full Name | Terry Michael Maddox | 
|---|---|
| Gender | Male | 
| Speciality | Pharmacist | 
| Location | 1833 Kingshighway, Washington Park, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346295367 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 183500000X | Pharmacist | (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Terry Michael Maddox, PHARM D 1833 Kingshighway, Suite 200, Washington Park, IL 62204-2135 Ph: (618) 874-3000  | Terry Michael Maddox, PHARM D 1833 Kingshighway, Suite 200, Washington Park, IL 62204-2135 Ph: (618) 874-3000  | 
Mr. Steven Lyle Wagner,  Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1833 Kingshighway, Washington Park, IL 62204 Phone: 618-874-3000 Fax: 618-674-3103  | |
Mr. Michael Lee Schaltenbrand, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1833 Kingshighway, Suite 100, Washington Park, IL 62204 Phone: 618-874-3000 Fax: 318-874-3019  |