| NPI | 1588077325 |
|---|---|
| Doing Business As | MADISON HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SEYED AMINODDIN MIRRAMEZANI Chief Operating Officer 256-466-0484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114370) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-05-26 |