Organization
SCOTT A EDMUNDSON
Active
Other names
TRAFFORD FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT EDMUNDSON (PIC/OWNER)
(412) 372-5493
Entity
Organization
Contact information
Practice address
312 CAVITT AVE, TRAFFORD, PA 15085-1065
(412) 372-5493
(412) 372-5493
Mailing address
312 CAVITT AVE, TRAFFORD, PA 15085-1065
(412) 372-5493
(412) 372-5493
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410571L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018255900001
—
PA
01
—
3936549
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2006
Last updated
01/12/2009
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