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 |