Edgewoodrx LLC
Pharmacy in Friendswood, TX. Organization (NPI-2).
NPI number1144771007
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1144771007
- Entity type
- Organization (NPI-2)
- Legal business name
- Edgewoodrx LLC
- Organization subpart
- No
- Enumeration date
- Oct 16, 2016
- Certification date
- Nov 8, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 31057 | TX | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Edgewood Pharmacy (Doing Business As)
Practice location
186 S Friendswood DrFriendswood, TX 77546-3915
Phone 281-993-4779 · Fax 832-569-4756
Mailing address
186 S Friendswood DrFriendswood, TX 77546-3915
Phone 281-993-4779 · Fax 832-569-4756
Authorized official
Keyur Modi
President / Pharmacist In Charge
2819934779
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