Organization
MADISON RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MARTIN BUSSOLA (PRESIDENT)
(929) 295-0700
Entity
Organization
Contact information
Practice address
1701 MADISON ST, RIDGEWOOD, NY 11385-3698
(929) 295-0700
(929) 295-0699
Mailing address
1701 MADISON ST, RIDGEWOOD, NY 11385-3698
(929) 295-0700
(929) 295-0699
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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