MADISON MEDICAL COMPOUNDING PHARMACY
Organization (NPI-2)
Active
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Information
- NPI Number
1912488198- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 111 FOUNTAINS BLVD. BUILDING B STE. A, MADISON, MS, 39110
- Phone
- (601) 707-7545
Specialties & Taxonomies
Pharmacy, Specialty Pharmacy
License: MS #17118
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary License: MS #17118