Madison Pharmacy

LBN: Madison Pharmacy Inc
Madison Pharmacy is an health care organization with primary practice located at 1750 Madison Ave Ste 110, Memphis TN 38104-6492. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Madison Pharmacy Inc can be contacted via phone (901) 274-4334, or through Ginn, Rende via phone (901) 274-4334.

Contact Information

Primary practice address
1750 Madison Ave Ste 110 Memphis TN 38104-6492
Phone: (901) 274-4334
Fax: (901) 274-4335
Website:
Map and Directions
Authorized official contact:
Name: Ginn, Rende
Phone: (901) 274-4334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3957 Tennessee
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1669482683
LBN Legal business name Madison Pharmacy Inc
DBA Doing business as Madison Pharmacy
Authorized official Ginn, Rende
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 10th, 2016 - about 10 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 1669482683 NPPES
Other 2134170 PK

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