Eden Drug, INC.
Pharmacy, Long Term Care Pharmacy in Eden, NC. Organization (NPI-2).
NPI number1053947366
StatusActive
Last updated in NPPESApr 15, 2020
Details
- NPI
- 1053947366
- Entity type
- Organization (NPI-2)
- Legal business name
- Eden Drug, INC.
- Organization subpart
- No
- Enumeration date
- Mar 18, 2020
- Certification date
- Apr 15, 2020
- Last updated
- Apr 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Practice location
103 W Stadium DrEden, NC 27288-3329
Phone 336-627-4854
Mailing address
103 W Stadium DrEden, NC 27288-3329
Phone 336-627-4854
Authorized official
Robert Crouch
Pharmacist
3366274854
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