Healthcare Provider Details

I. General information

NPI: 1720742091
Provider Name (Legal Business Name): MADISON COX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 US HIGHWAY 31 S
ATHENS AL
35611-2892
US

IV. Provider business mailing address

215 US HIGHWAY 31 S
ATHENS AL
35611-2892
US

V. Phone/Fax

Practice location:
  • Phone: 256-233-0514
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21977
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: