Individual
LISA EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 S HIGHWAY 97, REDMOND, OR 97756-9647
(541) 504-4166
Mailing address
1705 S HIGHWAY 97, REDMOND, OR 97756-9647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9099
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
9099
OR
Other
Enumeration date
12/02/2010
Last updated
03/07/2016
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