Organization
MADDENS PHARMACY INC
Active
Other names
Madden's Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD JOSEPH PIELA JR. (PRESIDENT/PHARMACIST IN CHARGE)
(706) 283-1701
Entity
Organization
Contact information
Practice address
101 COLLEGE AVE, ELBERTON, GA 30635-1705
(706) 283-1701
(706) 283-1704
Mailing address
101 COLLEGE AVE, ELBERTON, GA 30635-1705
(706) 283-1701
(706) 283-1704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006766
GA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031193A
—
GA
05
—
000031193B
—
GA
05
—
000650273A
—
GA
01
—
2012351
PK
—
Enumeration date
07/13/2006
Last updated
12/03/2021
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