Scott a Edmundson
Organization Active NPI Community/Retail Pharmacy · Trafford, PA
NPI 1154497378 · NPPES record last updated Jan 12, 2009
Key facts
- NPI
- 1154497378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP410571L (PA)
- Legal business name
- SCOTT A EDMUNDSON
- Practice address
- 312 Cavitt Ave
Trafford, PA 15085-1065 - Phone
- (412) 372-5493
- Fax
- (412) 372-5493
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Scott Edmundson
- Title
- Pic/Owner
- Phone
- (412) 372-5493
Practitioners 1
-
Scott A Edmundson, R.PH.
National Provider Directory
Locations
312 Cavitt Ave
Trafford, PA 15085
Phone (412) 372-5493
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP410571L | PA | Yes |
Addresses
Primary practice location
312 Cavitt Ave
Trafford, PA 15085-1065
Mailing address
312 Cavitt Ave
Trafford, PA 15085-1065
Phone (412) 372-5493
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018255900001 | Medicaid | PA | |
| 3936549 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- TRAFFORD FAMILY PHARMACY
Other providers in Trafford, PA
- Pittsburgh Hand and Nerve, P.C.
- Pittsburgh Medical Associates, P.C.
- David Pogue
- Kelly Porter
- Tara Nicole Sabo
- Seriously Nutritious, LLC
- Shaffo Physical Therapy Inc.
- Joseph Alan Shaffo
- Joseph Louis Shaffo
- Alexander Marcus Spiess
All providers in Trafford, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.