Healthcare Provider Details

I. General information

NPI: 1851218275
Provider Name (Legal Business Name): MADISON PHARMACY AND APOTHECARY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 UNIVERSITY AVENUE
MADISON WI
53705
US

IV. Provider business mailing address

5117 WHITCOMB DR
MADISON WI
53711-2636
US

V. Phone/Fax

Practice location:
  • Phone: 608-286-2625
  • Fax:
Mailing address:
  • Phone: 608-286-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RYAN BENDER
Title or Position: OWNER
Credential:
Phone: 608-206-5866