Organization
EDR GROUP INC
Active
Other names
pr pharmacy healthmart
Organization subpart
No
Provider details
NPI number
Authorized official
EZZAT ATALLA (PHARMACIST/OWNER)
(727) 868-4040
Entity
Organization
Contact information
Practice address
10806 US HIGHWAY 19, STE 105, PORT RICHEY, FL 34668-2563
(727) 868-4040
(727) 868-4077
Mailing address
10806 US HIGHWAY 19, STE 105, PORT RICHEY, FL 34668-2563
(727) 868-4040
(727) 868-4077
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH24470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054395
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/18/2010
Last updated
02/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us