Edgeman Health Llc in Durant - Community/retail Pharmacy
Edgeman Health Llc - NPI 1528143815
Edgeman Health Llc is a Community/retail Pharmacy in Durant, Oklahoma. Edgeman Health Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Edgeman Health Llc is 1528143815. The last update date is 2019-11-18.
Edgeman Health Llc's current location address is 311 N. Washington Ave., Durant, Oklahoma. You can contact this provider via phone number 5809243784 and fax number 5809200048. The mailing address for Edgeman Health Llc is 311 N. Washington Ave., Durant, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgeman Health Llc |
|---|---|
| Address | 311 N. Washington Ave., Durant, Oklahoma |
| Phone Number | 5809243784 |
| Fax Number | 5809200048 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Edgeman Nelson |
| Credentials | PHARMD |
| Telephone Number | 5809165168 |
NPI Number Detail
| NPI Number | 1528143815 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2019-11-18 |
Provider Mailing Address Detail
| Address | 311 N. Washington Ave. |
|---|---|
| City | Durant |
| State | Oklahoma (OK) |
| Post Code | 74701 |
| Phone Number | 5809243784 |
| Fax Number | 5809200048 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 27-4393 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2074715 | PK | ||
| 100242910A | OK | -- | |
| 5TS-15286924-05 | OK | STATE SALES TAX |
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What is the unique identifier code issued to Edgeman Health Llc by the Centers for Medicare & Medicaid Services?
The Edgeman Health Llc has been assigned the NPI (National Provider Identifier) 1528143815. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edgeman Health Llc located?
The Edgeman Health Llc is located at 311 N. Washington Ave., Durant, OK 74701.
What is Edgeman Health Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edgeman Health Llc's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528143815 to Edgeman Health Llc?
The Centers for Medicare & Medicaid Services assigned the 1528143815 to Edgeman Health Llc on 2006-10-26.
When was the information related to Edgeman Health Llc most recently updated or refreshed?
The details pertaining to the Edgeman Health Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-11-18.