| NPI | 1982736914 |
|---|---|
| Doing Business As | MADISON AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT MCNAMARA Treasurer 607-733-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 024476) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 024476) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-06-23 |