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NPI Code Detail

MEDICARE: MADISON SCOTT

MEDICARE:   MADISON  SCOTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202213085VA

General Provider Information

NPI Number : 1528475720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON SCOTT
Provider Business Mailing Address
First Line : 10106 PALACE WAY
Second Line : APT B
City : HENRICO
State : VA
Zip : 23238-5638
Country : US
Telephone Number : 301-502-2650
Fax Number :
Provider Business Practice Location Address
First Line : 3813 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1436
Country : US
Telephone Number : 804-747-7787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2014
Last Update Date : 07/20/2014

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Directions to “ MADISON SCOTT ” Practice Location

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