Organization
LAXMI DURGA RX LLC
Active
Organization
LAXMI DURGA RX LLC
Active
Other names
edmondson pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRUDVI RAM REDDY PEDAVEETI (PHARMACY MANAGER)
(410) 566-5565
Entity
Organization
Contact information
Practice address
4506 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 566-5565
(410) 566-1969
Mailing address
4506 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 566-5565
(410) 566-1969
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P05769
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
05/24/2021
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