Provider Demographics
NPI:1881931525
Name:MADAME RX , LLC
Entity type:Organization
Organization Name:MADAME RX , LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-808-9838
Mailing Address - Street 1:950 HENDERSON BLVD SIDE DOOR
Mailing Address - Street 2:
Mailing Address - City:FOLCROFT
Mailing Address - State:PA
Mailing Address - Zip Code:19032-1805
Mailing Address - Country:US
Mailing Address - Phone:610-247-7593
Mailing Address - Fax:267-861-0862
Practice Address - Street 1:950 HENDERSON BLVD
Practice Address - Street 2:
Practice Address - City:FOLCROFT
Practice Address - State:PA
Practice Address - Zip Code:19032-1805
Practice Address - Country:US
Practice Address - Phone:855-790-0100
Practice Address - Fax:267-861-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy