Eden Drug Health Mart

LBN: Eden Drug Inc
Eden Drug Health Mart 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 / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Eden Drug Inc can be contacted via phone (336) 627-4854, or through Crouch, Robert L via phone (336) 627-4854.

Contact Information

Primary practice address
103 W Stadium Dr Eden NC 27288-3329
Phone: (336) 627-4854
Fax: (336) 627-8925
Website:
Map and Directions
Authorized official contact:
Name: Crouch, Robert L R.PH, CPP
Phone: (336) 627-4854

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 09458 North Carolina

Profile Details

NPI number 1215089222
LBN Legal business name Eden Drug Inc
DBA Doing business as Eden Drug Health Mart
Authorized official Crouch, Robert L R.PH, CPP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Feb 15th, 2011 - about 14 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 1215089222 NPPES
Virginia MEDICAID 9110968
Virginia MEDICAID 7700318
Virginia Other 03748
Virginia Other 43812

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