Organization
MADISON RX LLC
Active
Other names
Madison Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL BRACH (MANAGING MEMBER)
(845) 782-2062
Entity
Organization
Contact information
Practice address
400 MADISON AVE, LAKEWOOD, NJ 08701-3225
(732) 370-4200
(732) 328-2233
Mailing address
400 MADISON AVE, LAKEWOOD, NJ 08701-3225
(732) 370-4200
(732) 328-2233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RI03656300
NJ
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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