Madden, Justin
Madden, Justin is an individual health care provider with primary practice located at 126 Missouri Ave Mcxp-Ccs-Cr, Fort Leonard Wood MO 65473-8952. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Madden, Justin can be contacted via phone (573) 596-0417.Contact Information
Primary practice address
126 Missouri Ave Mcxp-Ccs-Cr
Fort Leonard Wood MO 65473-8952
Phone: (573) 596-0417
Fax: (573) 596-0524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 2001029148 | Missouri |
Pharmacy Service Providers / Pharmacist | 183500000X | 2001029148 | Missouri |
Profile Details
NPI number | 1811907793 |
---|---|
LBN Legal business name | Madden, Justin |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Oct 3rd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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