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General NPI Number Information
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NPI Number | 1023762846
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Entity Type | Organization
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Legal Business Name | MADISON SPECIALTY PHARMACY, INC.
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 1663 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3150
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Country | US
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Telephone | 646-609-6500
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Fax | 646-609-6501
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Provider Business Mailing Address
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Address Line | 1663 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3150
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Country | US
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Telephone | 646-609-6500
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Fax | 646-609-6501
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | DR. ALEXANDRA GALIANO
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Credential | PHARMD
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Telephone | 646-609-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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