Organization
EDEN DRUG, INC.
Active
Other names
Eden Drug Health Mart
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L CROUCH RPH, CPP (PRESIDENT, PHARMACIST)
(336) 627-4854
Entity
Organization
Contact information
Practice address
103 W STADIUM DR, EDEN, NC 27288-3329
(336) 627-4854
(336) 627-8925
Mailing address
103 W STADIUM DR, EDEN, NC 27288-3329
(336) 627-4854
(336) 627-8925
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008507139
—
VA
05
—
0795443
—
NC
01
—
3420015
NCPDP
NC
Enumeration date
04/20/2006
Last updated
03/14/2008
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