MADAME RX , LLC; NPI #1164779617

Contact Information

MADAME RX , LLC

950 HENDERSON BLVD
FOLCROFT, PA 19032-1805

Phone: 855-790-0100
Fax: 267-861-0862
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Compounding Pharmacy	3336C0004X	58	Medical Supply Company with Pharmacist
Mail Order Pharmacy	3336M0002X	58	Medical Supply Company with Pharmacist
Specialty Pharmacy	3336S0011X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MADAME RX , LLC

NPI # 1164779617

LBN Legal business name MADAME RX , LLC

Authorized official AMANY MANSOUR-AWAD - (PHARMACIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/14/2012

Last updated 10/07/2020 - About 6 years ago

Identifiers

License #

RP038763L

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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