Organization
EDAMS LTC PHARMACY LLC
Active
Other names
First CareRx, EDAMS LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YAYA SIMEON EDAMIVOH RPH (OWNER)
(602) 900-3037
Entity
Organization
Contact information
Practice address
1735 N 11TH AVE, TUCSON, AZ 85705-6527
(520) 230-8188
(520) 448-4841
Mailing address
1735 N 11TH AVE, TUCSON, AZ 85705-6527
(520) 230-8188
(520) 448-4841
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159778
PK
—
01
—
Y009864
LONG TERM CARE PHARMACY
AZ
Enumeration date
05/02/2016
Last updated
10/15/2024
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