Madison Medical Compounding Pharmacy
NPI #1912488198 in Madison, Mississippi
Provider Information
- NPI Number
- 1912488198
- Entity Type
- Organization
- Organization Name
- Madison Medical Compounding Pharmacy
- Primary Specialty
- Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Enumeration Date
- Aug 24, 2018
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 111 FOUNTAINS BLVD. BUILDING B STE. A
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (601) 707-7545
Authorized Official
- Name
- KRISTEN LEANN CHAMBERS, PHARM.D.
- Title
- PHARMACIST IN CHARGE
- Phone
- (662) 820-4305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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