Madison Drug Company
LBN: Madison Drug, Llc
Madison Drug Company is an health care organization with primary practice located at 213 N. Main St , Madison GA 30650-1312. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Madison Drug, Llc can be contacted via phone (706) 342-1722, or through Bass, Kelli Michelle via phone (706) 342-1722.
Contact Information
Primary practice address
213 N. Main St
Madison GA 30650-1312
Phone: (706) 342-1722
Fax: (706) 342-3277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE006020 | Georgia |
Profile Details
| NPI number | 1780792101 |
|---|---|
| LBN Legal business name | Madison Drug, Llc |
| DBA Doing business as | Madison Drug Company |
| Authorized official | Bass, Kelli Michelle PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Nov 18th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780792101 | NPPES |
| Georgia | MEDICAID | 00031215A | |
| Georgia | Other | 2012577 |
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