# EDLINE GROUP INCORPORATED

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COMPTON DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558443341
- **Authorized official:** EDWARD OBI (OWNER)
- **Authorized official phone:** (617) 288-1616

## Contact information

- **Practice address:** 393 COLUMBIA RD, DORCHESTER, MA 02125-2415
- **Practice address phone:** (617) 288-1616
- **Practice address fax:** (617) 506-6003
- **Mailing address:** 393 COLUMBIA RD, DORCHESTER, MA 02125-2415
- **Mailing address phone:** (617) 288-1616
- **Mailing address fax:** (617) 506-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 3325 | MA | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 12/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0406350 | — | MA |
| 01 | — | 2227812 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |