| NPI | 1205159050 |
|---|---|
| Other Name | EDDIE PMD INC |
| Entity Type | Organization |
| Authorized Contact | EDMUND PASIMIO Medical Director 702-386-0909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-03-01 |