Healthcare Provider Details

I. General information

NPI: 1801779152
Provider Name (Legal Business Name): MADELINE MARIE GIRARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 N HIGH ST
COLUMBUS OH
43201-2409
US

IV. Provider business mailing address

1015 LUNA AVE UNIT 207
COLUMBUS OH
43201-4607
US

V. Phone/Fax

Practice location:
  • Phone: 614-340-6777
  • Fax:
Mailing address:
  • Phone: 740-953-2137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03445718
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: