Madison Avenue Pharmacy INC
NPI #1407930530 in Springfield, Ohio
Provider Information
- NPI Number
- 1407930530
- Entity Type
- Organization
- Organization Name
- Madison Avenue Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 10, 2013
Practice Location
- Address
- 640 N FOUNTAIN AVE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45504-2202
- Phone
- (937) 323-1841
Authorized Official
- Name
- ERIC JUERGENS, RPH
- Title
- OWNER
- Phone
- (937) 323-1841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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