Madison Drug, LLC

Organization Active NPI Long Term Care Pharmacy · Madison, GA

NPI 1851073274 · NPPES record last updated Aug 4, 2023

Key facts

NPI
1851073274
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
MADISON DRUG, LLC
Practice address
213 N Main St
Madison, GA 30650-1312
Phone
(706) 342-1722
Fax
(706) 342-3227
NPI assigned
Aug 4, 2023
Organization subpart
No

Authorized official

Name
Kelli Michelle Bass
Title
Pic
Phone
(706) 342-1722

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Madison Drug (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

213 N Main St
Madison, GA 30650-1312

Mailing address

213 N Main St
Madison, GA 30650-1312
Phone (706) 342-1722

Other names

  • Madison Drug LLC LTC Doing business as

Other providers in Madison, GA

All providers in Madison, GA · Long Term Care Pharmacy in Georgia

Sources for this page

Verify at the official NPI Registry.