Organization
MADISON DRUG, LLC
Active
Other names
Madison Drug LLC LTC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MICHELLE BASS (PIC)
(706) 342-1722
Entity
Organization
Contact information
Practice address
213 N MAIN ST, MADISON, GA 30650-1312
(706) 342-1722
(706) 342-3227
Mailing address
213 N MAIN ST, MADISON, GA 30650-1312
(706) 342-1722
(706) 342-3227
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
Update your record
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