Healthcare Provider Details

I. General information

NPI: 1295644698
Provider Name (Legal Business Name): ANGELA MADALON RPH MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3913 REGENT ST
MADISON WI
53705-5222
US

IV. Provider business mailing address

3913 REGENT ST
MADISON WI
53705-5222
US

V. Phone/Fax

Practice location:
  • Phone: 608-469-8989
  • Fax:
Mailing address:
  • Phone: 608-469-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number11292-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: