Organization
LEONARD L EDLOE CORP
Active
Other names
EDLOES PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD L EDLOE PHARMD (PRESIDENT)
(804) 643-5721
Entity
Organization
Contact information
Practice address
1124 N 25TH ST, RICHMOND, VA 23223-5256
(804) 643-5721
(804) 644-5301
Mailing address
1124 N 25TH ST, RICHMOND, VA 23223-5256
(804) 643-5721
(804) 644-5301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201000345
VA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4804363
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8504750
—
VA
Enumeration date
07/30/2006
Last updated
03/27/2008
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