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MR. MADISON J LEDFORD RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1093304933
Individual Registrant:MR. MADISON J LEDFORD RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1201 N MAIN ST LA FAYETTE, GA 30728-2150 US
Tel: 706-638-1281 Fax: 706-638-1283
Tel: 706-638-1281 Fax: 706-638-1283
Contact information for business:
1201 N MAIN ST LA FAYETTE, GA 30728-2150 US
Tel: 706-638-1281 Fax: 706-638-1283
Tel: 706-638-1281 Fax: 706-638-1283
Registration Information:
NPI: 1093304933
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH015224 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
