Organization
MADISON RX PHARMACY INC.
Active
Other names
MADISON RX PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR LI PHARM D (SUPERVISING PHARMACIST)
(646) 918-7225
Entity
Organization
Contact information
Practice address
203 MADISON ST, NEW YORK, NY 10002-7581
(646) 918-7225
(646) 682-9216
Mailing address
203 MADISON ST, NEW YORK, NY 10002-7581
(646) 918-7225
(646) 682-9216
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04173011
—
NY
01
—
5812892
NCPDP PROVIDER IDENTIFICATION NUMBER
NY
Enumeration date
03/07/2015
Last updated
09/10/2015
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