Provider Demographics
NPI:1316212731
Name:EDWARDS HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:EDWARDS HEALTH CARE SERVICES, INC.
Other - Org Name:EHS PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:330-655-8357
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-0309
Mailing Address - Country:US
Mailing Address - Phone:866-374-2541
Mailing Address - Fax:866-374-2540
Practice Address - Street 1:5640 HUDSON INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-5011
Practice Address - Country:US
Practice Address - Phone:866-374-2541
Practice Address - Fax:866-374-2540
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARDS HEALTH CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0211435503336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy