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Organization
MADISON PHARMACY INC.
Active
Organization
MADISON PHARMACY INC.
Active
Parent organization
MADISON PHARMACY INC.
Other names
Madison Health Mart Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON PHARMACY INC.
Authorized official
DR. SEYED AMINODDIN MIRRAMEZANI PHARM.D. (CHIEF OPERATING OFFICER)
(256) 466-0484
Entity
Organization
Contact information
Practice address
8498 MADISON BLVD STE A, MADISON, AL 35758-2049
(256) 325-1139
(256) 325-1159
Mailing address
8498 MADISON BLVD STE A, MADISON, AL 35758-2049
(256) 325-1139
(256) 325-1159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114370
AL
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146244
PK
—
Enumeration date
06/10/2014
Last updated
05/26/2022
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