Organization Name: | EDC DRUG STORES, INC. |
NPI Number: | 1396775540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ZOREK (MANAGER OL ADJUDICATION) |
Mailing Address: | 12203 Greenville Hwy Lyman |
State: | SC US |
Postal Code: | 293651513 |
Phone Number: | 8644393754 |
Fax Number: | 8649490947 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |