| NPI | 1851073274 |
|---|---|
| Doing Business As | MADISON DRUG LLC LTC |
| Entity Type | Organization |
| Authorized Contact | KELLI MICHELLE BASS PIC 706-342-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |