Madison Avenue Pharmacy
NPI #1295879369 in Springfield, Ohio
Provider Information
- NPI Number
- 1295879369
- Entity Type
- Organization
- Organization Name
- Madison Avenue Pharmacy
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Aug 13, 2008
Practice Location
- Address
- 640 N FOUNTAIN AVE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45504-2202
- Phone
- (937) 323-1841
Authorized Official
- Name
- MRS. GINGER LYNNETTE HENNIG, L.PED.
- Title
- PEDORTHIST
- Phone
- (937) 788-2402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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