Terry Michael Maddox, PHARM D is a
Pharmacist based in Washington Park, Illinois. Terry Michael Maddox is licensed to practice in Illinois (license number ) and his current practice location is
1833 Kingshighway, Suite 200, Washington Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 874-3000.
NPI number for Terry Michael Maddox is 1346295367 and his current mailing address is 1833 Kingshighway, Suite 200, Washington Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346295367.
Healthcare Provider's Profile
Full Name | Terry Michael Maddox |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 1833 Kingshighway, Washington Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346295367
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Terry Michael Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346295367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry Michael Maddox is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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