NPI 1295910990 · live from the CMS NPI Registry
Edge Medical LLC
Pharmacy, Community/Retail Pharmacy in Reno, NV. National Provider Identifier 1295910990, active.
NPI record
| NPI | 1295910990 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 5875 Tyrone Rd, Reno, NV 89502 |
| Practice phone | 775-829-0774 |
| Mailing address | Po Box 17220, Reno, NV 89511 |
| Enumerated | January 2, 2008 |
| Last updated | April 9, 2009 |
| Authorized official | Leslie Baker, Chief Pharmacist |
| Other names | Edge Medical LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PH02207 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.