NPI | 1801901848 |
---|---|
Doing Business As | EDGEWOOD PHARMACY INC |
Entity Type | Organization |
Authorized Contact | BENNY ROMO Owner 210-435-3705 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 02868) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-20 |
Last Update Date | 2009-01-16 |