Individual
DR. DUSTIN D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1012 CLEVELAND BLVD, CALDWELL, ID 83605-3852
(208) 455-1792
(208) 459-2029
Mailing address
9710 W BLACKPOOL CT, STAR, ID 83669-5750
(208) 921-2525
(208) 459-2029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5878
ID
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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