Organization
EDITH W ACHEBODT
Active
Other names
AJrx
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH ACHEBODT (PHARM D/OWNER)
(214) 223-5041
Entity
Organization
Contact information
Practice address
1116 W PARKER RD STE 380A, PLANO, TX 75075-2274
(972) 205-9898
(972) 205-9888
Mailing address
1116 W PARKER RD STE 380A, PLANO, TX 75075-2274
(214) 223-5041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30898
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149425
—
TX
01
—
2160873
PK
—
Enumeration date
07/05/2016
Last updated
04/29/2022
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