| NPI | 1063642197 |
|---|---|
| Doing Business As | EDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ABIY TEKLE Pharmacist/Manager 339-224-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH24008) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2015-01-20 |