Individual
JUDITH R EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1019 RIVER ST STE 1, BELLEVILLE HOMETOWN PHARMACY, BELLEVILLE, WI 53508-9181
(608) 424-3364
Mailing address
W2618 STORY CREEK CIR, BELLEVILLE, WI 53508-8702
(608) 424-3504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11226-40
WI
Other
Enumeration date
05/28/2011
Last updated
03/19/2013
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