| NPI | 1144771007 |
|---|---|
| Doing Business As | EDGEWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEYUR MODI President / Pharmacist In Charge 281-993-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 31057) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2021-11-08 |