Provider Demographics
NPI:1407537384
Name:MUSICK, MADISON RUBY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MADISON
Middle Name:RUBY
Last Name:MUSICK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 N ORLEANS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-6429
Mailing Address - Country:US
Mailing Address - Phone:813-326-4274
Mailing Address - Fax:
Practice Address - Street 1:28500 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-3210
Practice Address - Country:US
Practice Address - Phone:813-262-6844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS65867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist