DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON MEDICAL COMPOUNDING PHARMACY

Active Organization

MADISON MEDICAL COMPOUNDING PHARMACY is a Pharmacist Clinician (PhC) organization located in MADISON, Mississippi. NPI 1912488198 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · MADISON, MS

Registration Details

NPI Number
1912488198
Provider Type
Organization
NPI Issued
Aug 24, 2018 (7.9862892256503 yrs)
Last Updated
Mar 7, 2023
Licenses
17118 (MS)
17118 (MS)

Practice Information

Address
111 FOUNTAINS BLVD. BUILDING B STE. A
MADISON, MS, 39110
Browse MS providers · Browse ZIP 39110
Phone
6017077545
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.