MADISON AVENUE PHARMACY NPI 1295879369

NPI Information

MADISON AVENUE PHARMACY is a durable medical equipment medical supplies in Springfield, OH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MADISON AVENUE PHARMACY NPI is 1295879369. The provider is registered as an organization entity type.

The provider's business location address is:

640 N FOUNTAIN AVE
SPRINGFIELD, OH
ZIP 45504-202
Phone: (937) 323-1841
Fax: (937) 323-1016

The provider's authorized official is Ginger Lynnette Hennig .
The authorized official title is Pedorthist and has the following contact phone number (937) 788-2402.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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