DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADDENS PHARMACY INC

MEDICARE: MADDENS PHARMACY INC
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
13336S0011XSpecialty Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3332BX2000XOxygen Equipment & Supplies (DME)
43336L0003XLong Term Care Pharmacy
53336C0003XCommunity/Retail PharmacyPHRE006766GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12012351OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992720221
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADDENS PHARMACY INC
Provider Business Mailing Address
First Line : 101 COLLEGE AVE
Second Line :
City : ELBERTON
State : GA
Zip : 30635-1705
Country : US
Telephone Number : 706-283-1701
Fax Number : 706-283-1704
Provider Business Practice Location Address
First Line : 101 COLLEGE AVE
Second Line :
City : ELBERTON
State : GA
Zip : 30635-1705
Country : US
Telephone Number : 706-283-1701
Fax Number : 706-283-1704
Authorized Official
Title or Position : PRESIDENT/PHARMACIST IN CHARGE
Name : DONALD JOSEPH PIELA JR.
Credential :
Telephone Number : 706-283-1701
Provider Enumeration Date : 07/13/2006
Last Update Date : 12/03/2021

Similar Medicare Providers

1265439574 — ROGER DAVID MIZE MD
Practice Location Address:
109 COLLEGE AVE
ELBERTON, GA
30635-1705
Practice Phone: 706-283-3315
Practice Fax: 706-283-2159
1700883659 — DR. MARK LASSITER DANIEL M.D.
Practice Location Address:
109 COLLEGE AVE
ELBERTON, GA
30635-1705
Practice Phone: 706-283-3315
Practice Fax: 706-283-2159
1508845629 — DR. GLENN SIK-HEE POON MD
Practice Location Address:
109 COLLEGE AVE
ELBERTON, GA
30635-1705
Practice Phone: 706-283-3315
Practice Fax: 706-283-2159
1215917901 — DR. JAMES DANIEL MCAVOY MD
Practice Location Address:
109 COLLEGE AVE
ELBERTON, GA
30635-1705
Practice Phone: 706-283-3315
Practice Fax:
1891863569 — THE MEDICAL CENTER OF ELBERTON, LLP
Practice Location Address:
109 COLLEGE AVE
ELBERTON, GA
30635-1705
Practice Phone: 706-283-3315
Practice Fax: 706-283-2159
1841340437 — DR. JONATHAN YUNG-CHI POON M.D.
Practice Location Address:
109 COLLEGE AVE
ELBERTON, GA
30635-1705
Practice Phone: 706-283-3315
Practice Fax: 706-283-2159

Directions to “MADDENS PHARMACY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.