Maddox, Terry Michael

Maddox, Terry Michael is an individual health care provider with primary practice located at 1833 Kingshighway Suite 200, Washington Park IL 62204-2135. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Maddox, Terry Michael can be contacted via phone (618) 874-3000.

Contact Information

Primary practice address
1833 Kingshighway Suite 200 Washington Park IL 62204-2135
Phone: (618) 874-3000
Fax: (618) 874-3019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1346295367
LBN Legal business name Maddox, Terry Michael
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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