| NPI | 1326045097 |
|---|---|
| Doing Business As | EDISON PRESCRIPTION SHOPPE |
| Entity Type | Organization |
| Authorized Contact | BRUCE JACOBS Vice President Pharmacist 239-561-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH10783) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-01-23 |