Healthcare Provider Details

I. General information

NPI: 1003804584
Provider Name (Legal Business Name): EDLER PHARMACY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10600 QUIVIRA RD SUITE 100
OVERLAND PARK KS
66215-2309
US

IV. Provider business mailing address

10600 QUIVIRA RD SUITE 100
OVERLAND PARK KS
66215-2309
US

V. Phone/Fax

Practice location:
  • Phone: 913-541-5050
  • Fax: 913-541-6021
Mailing address:
  • Phone: 913-541-5050
  • Fax: 913-541-6021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2-10201
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBRA L. EDLER
Title or Position: PHARMACIST IN CHARGE
Credential: RPH
Phone: 913-541-5050