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Madison Medical Compounding Pharmacy
Specialty Pharmacy in Madison, Mississippi
NPI 1912488198

Madison Medical Compounding Pharmacy is a Specialty Pharmacy based in Madison, MS and is specialized in Specialty Pharmacy. Madison Medical Compounding Pharmacy practices in Madison, MS. The NPI Number for Madison Medical Compounding Pharmacy is 1912488198 and holds a License No. 17118 (Mississippi).

The current practice location address for Madison Medical Compounding Pharmacy is 111 Fountains Blvd. Building B Ste. A, Madison, MS and can be reached out via phone at 601-707-7545.

Location: 111 Fountains Blvd. Building B Ste. A, Madison, MS, 39110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912488198
Provider Name
Madison Medical Compounding Pharmacy
Credential
Provider Entity Type
Organization
Address
111 Fountains Blvd. Building B Ste. A, Madison, MS, 39110
Phone Number
601-707-7545
Fax Number
Provider Enumeration Date
08/24/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
111 Fountains Blvd. Building B Ste. A
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-707-7545
Fax Number
person
Provider Business Mailing Address Details
Address
111 Fountains Blvd. Building B Ste. A
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-707-7545
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
17118 (Mississippi)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
17118 (Mississippi)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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