Individual
MARY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12880 AIRLINE HWY, BATON ROUGE, LA 70817-5105
(225) 751-3611
Mailing address
16333 COLUMNS WAY APT 8204, BATON ROUGE, LA 70817-7749
(910) 922-1274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.024613
LA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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