Organization
MADAME RX , LLC
Active
Other names
Chemistry Rx
Organization subpart
No
Provider details
NPI number
Authorized official
AMANY FARID MANSOUR-AWAD RPH (PHARMACIST)
(855) 790-0100
Entity
Organization
Contact information
Practice address
950 HENDERSON BLVD, FOLCROFT, PA 19032-1805
(855) 790-0100
(267) 861-0862
Mailing address
950 HENDERSON BLVD, FOLCROFT, PA 19032-1805
(855) 790-0100
(267) 861-0862
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
RP038763L
PA
3336M0002X
Mail Order Pharmacy
RP038763L
PA
3336S0011X
Specialty Pharmacy
RP038763L
PA
Other
Enumeration date
08/14/2012
Last updated
10/07/2020
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