Edgewood Pharmacy
LBN: Edgewoodrx Llc
Edgewood Pharmacy is an health care organization with primary practice located at 186 S Friendswood Dr , Friendswood TX 77546-3915. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Edgewoodrx Llc can be contacted via phone (281) 993-4779, or through Modi, Keyur via phone (281) 993-4779.
Contact Information
Primary practice address
186 S Friendswood Dr
Friendswood TX 77546-3915
Phone: (281) 993-4779
Fax: (832) 569-4756
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 31057 | Texas |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1144771007 |
---|---|
LBN Legal business name | Edgewoodrx Llc |
DBA Doing business as | Edgewood Pharmacy |
Authorized official | Modi, Keyur RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 16th, 2016 |
Last updated | Nov 8th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144771007 | NPPES |
Other | 2165750 | PK | |
MEDICAID | 149557 | PK |
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