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MADISON SPECIALTY PHARMACY, INC.

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Company Details

Name: MADISON SPECIALTY PHARMACY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 24 May 2021 (4 years ago)
Entity Number: 6020554
ZIP code: 11375
County: New York
Place of Formation: New York
Address: 118-35 QUEENS BOULEVARD, SUITE 400, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 646-609-6500

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O ELIAS LAW COUNSEL, P.C. DOS Process Agent 118-35 QUEENS BOULEVARD, SUITE 400, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1023762846
Certification Date:
2022-10-14

Authorized Person:

Name:
DR. ALEXANDRA GALIANO
Role:
SUPERVISING PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6466096501

Licenses

Number Status Type Date End date
2105174-DCA Active Business 2022-04-11 2025-03-15

Filings

Filing Number Date Filed Type Effective Date
210524010706 2021-05-24 CERTIFICATE OF INCORPORATION 2021-05-24

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
3591973 RENEWAL INVOICED 2023-02-01 200 Dealer in Products for the Disabled License Renewal
3436858 LICENSE INVOICED 2022-04-08 100 Dealer in Products for the Disabled License Fee

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State