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NPI Code Detail

MEDICARE: BRIDGETT A EDGAR

MEDICARE: BRIDGETT A EDGAR
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
1183700000XPharmacy TechnicianVA00041168WA

General Provider Information

NPI Number : 1396786109
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGETT A EDGAR
Provider Business Mailing Address
First Line : 412 ANDERSON LN
Second Line :
City : GOLD BAR
State : WA
Zip : 98251-9147
Country : US
Telephone Number : 360-799-0701
Fax Number :
Provider Business Practice Location Address
First Line : 17788 147TH ST SE
Second Line :
City : MONROE
State : WA
Zip : 98272-1030
Country : US
Telephone Number : 360-794-7351
Fax Number : 360-794-5751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 01/24/2022

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Directions to “ BRIDGETT A EDGAR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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