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Organization

MADISON AVENUE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC TIMOTHY JUERGENS (PRESIDENT)
(937) 323-1841
Entity
Organization

Contact information

Practice address
640 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2202
(937) 323-1841
(937) 323-1016
Mailing address
640 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2202
(937) 323-1841
(937) 323-1016

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
About Stedi
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Product
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  • Eligibility checks
  • EDI platform