Madison Avenue Pharmacy INC
NPI #1487434205 in Springfield, Ohio
Provider Information
- NPI Number
- 1487434205
- Entity Type
- Organization
- Organization Name
- Madison Avenue Pharmacy INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Sep 29, 2023
- Last Updated
- Sep 29, 2023
Practice Location
- Address
- 640 N FOUNTAIN AVE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45504-2202
- Phone
- (937) 323-1841
Authorized Official
- Name
- ERIC TIMOTHY JUERGENS
- Title
- PRESIDENT
- Phone
- (937) 323-1841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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