Organization
MADISON PHARMACY INC
Active
Organization
MADISON PHARMACY INC
Active
Other names
Madison Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENDE GINN (PHARMACIST/OWNER)
(901) 274-4334
Entity
Organization
Contact information
Practice address
1750 MADISON AVE, STE 110, MEMPHIS, TN 38104-6492
(901) 274-4334
(901) 274-4335
Mailing address
1750 MADISON AVE, STE 110, MEMPHIS, TN 38104-6492
(901) 274-4334
(901) 274-4335
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3957
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134170
PK
—
Enumeration date
08/09/2006
Last updated
08/10/2016
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