<Unavail>

LBN: Edline Group Incorporated
<Unavail> is an health care organization with primary practice located at 393 Columbia Rd , Dorchester MA 02125-2415. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Edline Group Incorporated can be contacted via phone (617) 288-1616, or through Obi, Edward via phone (617) 288-1616.

Contact Information

Primary practice address
393 Columbia Rd Dorchester MA 02125-2415
Phone: (617) 288-1616
Fax: (617) 506-6003
Website:
Map and Directions
Authorized official contact:
Name: Obi, Edward
Phone: (617) 288-1616

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 3325 Massachusetts

Profile Details

NPI number 1558443341
LBN Legal business name Edline Group Incorporated
DBA Doing business as <Unavail>
Authorized official Obi, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Dec 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558443341 NPPES
Other 2227812 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 0406350 NCPDP PROVIDER IDENTIFICATION NUMBER

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