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NPI Code Detail

MEDICARE: MRS. PATRICIA ANN EDWARDS RPH

MEDICARE:  MRS. PATRICIA ANN EDWARDS  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist5302032577MI

General Provider Information

NPI Number : 1285800060
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANN EDWARDS RPH
Provider Business Mailing Address
First Line : 1979 S DERBY RD
Second Line :
City : SIDNEY
State : MI
Zip : 48885-9753
Country : US
Telephone Number : 616-232-5267
Fax Number :
Provider Business Practice Location Address
First Line : 838 4TH AVE
Second Line :
City : LAKE ODESSA
State : MI
Zip : 48849-1054
Country : US
Telephone Number : 616-374-3190
Fax Number : 616-374-9120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 02/13/2017

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Directions to “ MRS. PATRICIA ANN EDWARDS RPH” Practice Location

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