Organization
MADISON PHARMACY INC
Active
Other names
PARK MADISON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU RACHAMALLU (OWNER)
(908) 412-1333
Entity
Organization
Contact information
Practice address
400 W FRONT ST, PLAINFIELD, NJ 07060-1120
(908) 412-1333
(908) 412-6555
Mailing address
400 W FRONT ST, PLAINFIELD, NJ 07060-1120
(908) 412-1333
(908) 412-6555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00660100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208515
—
NJ
01
—
2055932
PK
—
Enumeration date
05/18/2006
Last updated
08/18/2015
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