Organization
MADSEN INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK TOWNSEND PHARMD, RPH (PRESIDENT)
(515) 971-2029
Entity
Organization
Contact information
Practice address
108 2ND AVE W, TOLEDO, IA 52342-2140
(641) 484-6198
(641) 484-4642
Mailing address
108 2ND AVE W, TOLEDO, IA 52342-2140
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
773
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225649
—
IA
01
—
1612008
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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