Edison Pharmacy LLC

Community/Retail Pharmacy · Edison, GA

Organization Active NPI

NPI number 1164570099

Practice location

19427 Hartford St
Edison, GA 39846-5627
Phone
(229) 835-2212
Fax
(229) 835-2572

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NPI record

NPI
1164570099
Entity type
Organization (Type 2)
Enumeration date
January 8, 2007
Last updated
October 27, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X PHRE000311 GA
Pharmacy 333600000X — —

Mailing address

PO Box 248
Edison, GA 39846-0248
Phone
(229) 835-2211

Authorized official

Name
Edward F Reynolds, RPH
Title
Owner MGR
Phone
(229) 835-2212

Other names

  • Lane Drug Co

About Edison Pharmacy LLC

Edison Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 19427 Hartford St, Edison, GA 39846-5627. The NPI number 1164570099 was assigned on January 8, 2007 and the record was last updated on October 27, 2015.

Edison Pharmacy LLC lists a license in the registry: #PHRE000311 (GA) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Edward F Reynolds, RPH, Owner MGR.

Frequently asked questions

What is the NPI number of Edison Pharmacy LLC?

The NPI number is 1164570099.

What is the phone number of Edison Pharmacy LLC?

The phone number listed for the practice location is (229) 835-2212.

Where is Edison Pharmacy LLC located?

19427 Hartford St, Edison, GA 39846-5627.

What is the taxonomy code for Edison Pharmacy LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.