Organization · Type 2 NPI

Madison Pharmacy Inc.

Long Term Care Pharmacy · Madison, AL

NPI number 1669110722 Active

Practice location

8498 Madison Blvd Ste A
Madison, AL 35758-2049

Fax (256) 325-1159

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

Other long term care pharmacy providers in Madison

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NPI record

NPI: 1669110722
Entity type: Organization (Type 2)
Issued: May 26, 2022
Last updated: May 26, 2022
Status: Active
Subpart: Yes of Madison Pharmacy Inc.

Other names

Madison Health Mart Pharmacy · doing business as

Authorized official

Dr. Seyed Aminoddin Mirramezani, PharmD
Chief Operating Officer
(256) 466-0484

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669110722

Madison Pharmacy Inc.'s National Provider Identifier is 1669110722, issued on May 26, 2022. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Madison, AL. The record was last updated on May 26, 2022.