| Organization Name: | EDMONSON DRUG COMPANY INC |
| NPI Number: | 1437172418 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TREVOR RAY (OWNER/SECRETARY) |
| Mailing Address: | 432 S Main St Brownsville |
| State: | KY US |
| Postal Code: | 422100058 |
| Phone Number: | 2705972386 |
| Fax Number: | 8446828099 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 03/23/2016 |
| 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 |