| 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 |