| NPI | 1215089222 |
|---|---|
| Doing Business As | EDEN DRUG HEALTH MART |
| Entity Type | Organization |
| Authorized Contact | ROBERT L CROUCH President, Pharmacist 336-627-4854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 09458) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-02-15 |