| NPI | 1578396750 |
|---|---|
| Doing Business As | MADISON AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS VELESETTY President / Owner 518-971-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-09-23 |