Madison Avenue Pharmacy

LBN: Madison Avenue Pharmacy
Madison Avenue Pharmacy is an health care organization with primary practice located at 640 N Fountain Ave , Springfield OH 45504-2202. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Madison Avenue Pharmacy can be contacted via phone (937) 323-1841, or through Hennig, Ginger Lynnette via phone (937) 788-2402.

Contact Information

Primary practice address
640 N Fountain Ave Springfield OH 45504-2202
Phone: (937) 323-1841
Fax: (937) 323-1016
Website:
Map and Directions
Authorized official contact:
Name: Hennig, Ginger Lynnette L.PED.
Phone: (937) 788-2402

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X LPED110 Ohio

Profile Details

NPI number 1295879369
LBN Legal business name Madison Avenue Pharmacy
DBA Doing business as
Authorized official Hennig, Ginger Lynnette L.PED.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295879369 NPPES
Ohio MEDICAID 0970883

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