Organization
DUNAWAYS INC
Active
Other names
Edgeway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WEATHERS ETHRIDGE PHARM.D. (PRESIDENT)
(704) 865-9480
Entity
Organization
Contact information
Practice address
102 HIDDEN PASTURES DR STE 106, CRAMERTON, NC 28032-1697
(704) 865-9480
(704) 865-5480
Mailing address
102 HIDDEN PASTURES DR STE 106, CRAMERTON, NC 28032-1697
(704) 865-9480
(704) 865-5480
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366336
—
NC
Enumeration date
03/12/2007
Last updated
03/15/2019
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