Healthcare Provider Details

I. General information

NPI: 1639074628
Provider Name (Legal Business Name): CHRISTOPHER TRENT EDWARDS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N BRIGHTLEAF BLVD
SMITHFIELD NC
27577-4407
US

IV. Provider business mailing address

519 WOOD VALLEY DR
FOUR OAKS NC
27524-7766
US

V. Phone/Fax

Practice location:
  • Phone: 919-209-3547
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33477
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: