| NPI | 1679970099 |
|---|---|
| Doing Business As | MADISON HOME PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHY WALKER CFO 530-751-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-05-24 |