Madison Pharmacy Inc.

LBN: Madison Pharmacy Inc.
Madison Pharmacy Inc. is an health care organization with primary practice located at 8498 Madison Blvd Ste A , Madison AL 35758-2049. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Madison Pharmacy Inc. can be contacted via phone (256) 325-1139, or through Mirramezani, Seyed Aminoddin via phone (256) 466-0484.

Contact Information

Primary practice address
8498 Madison Blvd Ste A Madison AL 35758-2049
Fax: (256) 325-1159
Website:
Authorized official contact:
Name: Mirramezani, Seyed Aminoddin PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1669110722
LBN Legal business name Madison Pharmacy Inc.
DBA Doing business as
Authorized official Mirramezani, Seyed Aminoddin PHARM.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2022
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669110722 NPPES
Other 2146244 PK
MEDICAID 164319 PK

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