Madison Medical Compounding Pharmacy

LBN: Madison Medical Compounding Pharmacy
Madison Medical Compounding Pharmacy is an health care organization with primary practice located at 111 Fountains Blvd. Building B Ste. A , Madison MS 39110. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Suppliers / Specialty Pharmacy. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is the primary health care specialty. Madison Medical Compounding Pharmacy can be contacted via phone (601) 707-7545, or through Chambers, Kristen Leann via phone (662) 820-4305.

Contact Information

Primary practice address
111 Fountains Blvd. Building B Ste. A Madison MS 39110
Fax:
Website:
Authorized official contact:
Name: Chambers, Kristen Leann PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 17118 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X 17118 Mississippi

Profile Details

NPI number 1912488198
LBN Legal business name Madison Medical Compounding Pharmacy
DBA Doing business as
Authorized official Chambers, Kristen Leann PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2018
Last updated Mar 7th, 2023 - about last year

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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