| NPI | 1194384792 |
|---|---|
| Doing Business As | EDGEWAY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JULIAN ROSS RAUCH President/CEO 704-865-9480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-11-27 |