Individual
ROGER DEAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4061 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-3100
(202) 388-3102
Mailing address
4061 MINNESOTA AVE NE, WASHINGTON, DC 20019-3541
(202) 388-3100
(202) 388-3102
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
—
—
164W00000X
Licensed Practical Nurse
LP00016283
WA
183500000X
Pharmacist
Primary
PH00010428
WA
1835C0205X
Critical Care Pharmacist
PH00010428
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00010428
WA
1835P2201X
Ambulatory Care Pharmacist
PH00010428
WA
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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