Healthcare Provider Details

I. General information

NPI: 1962331686
Provider Name (Legal Business Name): EDISON RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 ROUTE 1
EDISON NJ
08817-4899
US

IV. Provider business mailing address

1002 ROUTE 1
EDISON NJ
08817-4899
US

V. Phone/Fax

Practice location:
  • Phone: 732-515-9027
  • Fax: 732-515-9028
Mailing address:
  • Phone: 732-515-9027
  • Fax: 732-515-9028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ZIYOVUDDIN TOIROV
Title or Position: PRESIDENT
Credential:
Phone: 732-515-9027