| NPI | 1235894965 |
|---|---|
| Doing Business As | EDGEWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEYUR MODI President/Pharmacist In Charge 281-993-4779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |