Organization
EDART PHARMACY INC
Active
Other names
EDART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD HUMPHRIES (PHARMACY MANAGER)
(614) 274-9600
Entity
Organization
Contact information
Practice address
1400 W BROAD ST, COLUMBUS, OH 43222-1345
(614) 274-9600
(614) 274-5260
Mailing address
1400 W BROAD ST, COLUMBUS, OH 43222-1345
(614) 274-9600
(614) 274-5260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020791050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0988025
—
OH
01
—
2073624
PK
—
Enumeration date
01/23/2007
Last updated
06/26/2013
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