NPI | 1235482944 |
---|---|
Doing Business As | EDMONDSON PHARMACY |
Entity Type | Organization |
Authorized Contact | PRUDVI RAM REDDY PEDAVEETI Pharmacy Manager 410-566-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: MD p05769) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2021-05-24 |