# MADISON PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MADISON PHARMACY INC.
- **Other names:** Madison Health Mart Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669110722
- **Legal business name:** MADISON PHARMACY INC.
- **Authorized official:** DR. SEYED AMINODDIN MIRRAMEZANI PHARM.D. (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (256) 466-0484

## Contact information

- **Practice address:** 8498 MADISON BLVD STE A, MADISON, AL 35758-2049
- **Practice address phone:** (256) 325-1139
- **Practice address fax:** (256) 325-1159
- **Mailing address:** 8498 MADISON BLVD STE A, MADISON, AL 35758-2049
- **Mailing address phone:** (256) 325-1139
- **Mailing address fax:** (256) 325-1159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2022
- **Last updated:** 05/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 164319 | — | AL |
| 01 | — | 2146244 | PK | — |