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MR. MADISON J LEDFORD RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1093304933

Individual Registrant:
MR. MADISON J LEDFORD RPH
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

Contact information for business:
1201 N MAIN ST  LA FAYETTE, GA 30728-2150 US
Tel: 706-638-1281  Fax: 706-638-1283

Registration Information:
NPI: 1093304933
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH015224

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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