Organization
ROBERT L. EDWARD
Active
Other names
Northgate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L EDWARDS RPH (OWNER)
(256) 766-1224
Entity
Organization
Contact information
Practice address
3522 CLOVERDALE RD, FLORENCE, AL 35633-1339
(256) 766-1224
(256) 766-1235
Mailing address
3522 CLOVERDALE RD, FLORENCE, AL 35633-1339
(256) 766-1224
(256) 766-1235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
107220
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123290
NABP
AL
05
—
100002392
—
AL
Enumeration date
11/04/2006
Last updated
06/30/2008
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