| NPI | 1962417568 |
|---|---|
| Former Legal Business Name | EDLOES PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LEONARD L EDLOE President 804-643-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VA 0201000345) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-03-27 |