Organization
GUARDIAN PHARMACY OF MADISON, LLC
Active
Parent organization
GUARDIAN PHARMACY, LLC
Other names
Mallatt's Home Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN PHARMACY, LLC
Authorized official
JEFF TUCH CPA (VP-PURCHASING & PAYOR RELATIONS)
(404) 532-5011
Entity
Organization
Contact information
Practice address
3250 KINGSLEY WAY, MADISON, WI 53713-1383
(608) 310-9922
(608) 442-8490
Mailing address
3250 KINGSLEY WAY, MADISON, WI 53713-1383
(608) 310-9922
(608) 442-8490
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
9504-42
WI
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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