Organization · Type 2 NPI

Laxmi Durga RX LLC

Community/Retail Pharmacy · Baltimore, MD

NPI number 1235482944 Active

Practice location

4506 Edmondson Ave
Baltimore, MD 21229-1506

Fax (410) 566-1969

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	P05769 (MD)
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1235482944
Entity type: Organization (Type 2)
Issued: Oct 18, 2012
Last updated: May 24, 2021
Status: Active

Other names

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Edmondson Pharmacy · doing business as
Edmondson Pharmacy · doing business as

Authorized official

Mr. Prudvi Ram Reddy Pedaveeti
Pharmacy Manager
(410) 566-5565

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235482944

Laxmi Durga RX LLC's National Provider Identifier is 1235482944, issued on Oct 18, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Baltimore, MD. The record was last updated on May 24, 2021.