| NPI | 1790257798 |
|---|---|
| Doing Business As | MADISON MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LETITIA ANN WEAVER Credentialing COO Rdinator 304-824-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |