Organization · Type 2 NPI
Madison Medical Compounding Pharmacy
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Madison, MS
NPI number
1912488198
Active
Practice location
117 Fountains Blvd Ste 2
Madison, MS 39110-6317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 17118 (MS) |
| Specialty Pharmacy | 3336S0011X | 17118 (MS) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
About NPI 1912488198
Madison Medical Compounding Pharmacy's National Provider Identifier is 1912488198, issued on Aug 24, 2018. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Madison, MS. The record was last updated on Sep 23, 2026.