Eden Drug, Inc.

LBN: Eden Drug, Inc.
Eden Drug, Inc. is an health care organization with primary practice located at 103 W Stadium Dr , Eden NC 27288-3329. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Eden Drug, Inc. can be contacted via phone (336) 627-4854, or through Crouch, Robert via phone (336) 627-4854.

Contact Information

Primary practice address
103 W Stadium Dr Eden NC 27288-3329
Phone: (336) 627-4854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crouch, Robert
Phone: (336) 627-4854

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1053947366
LBN Legal business name Eden Drug, Inc.
DBA Doing business as
Authorized official Crouch, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2020
Last updated Apr 15th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053947366 NPPES
North Carolina MEDICAID 0795443

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