# IMAGEMOVERMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093408767
- **Authorized official:** MR. KEVIN HOULIHAN (CEO)
- **Authorized official phone:** (608) 445-0789

## Contact information

- **Practice address:** 25 W MAIN ST STE 500, MADISON, WI 53703-3329
- **Practice address phone:** (608) 620-4980
- **Mailing address:** 2858 UNIVERSITY AVE \# 265, MADISON, WI 53705-3644
- **Mailing address phone:** (608) 620-4980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2023
- **Last updated:** 05/30/2023