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 / Community/Retail 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 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 RPH, CPP
Phone: (336) 627-4854

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 09458 North Carolina

Profile Details

NPI number 1740246677
LBN Legal business name Eden Drug, Inc.
DBA Doing business as Eden Drug Health Mart
Authorized official Crouch, Robert L RPH, CPP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 14th, 2008 - about 17 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 1740246677 NPPES
North Carolina Other 3420015 NCPDP
North Carolina MEDICAID 008507139 NCPDP
North Carolina MEDICAID 0795443 NCPDP

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