Individual
DR. RANDALL KIRK EDGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
5199 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-1518
(317) 257-4845
(317) 255-3764
Mailing address
5199 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-1518
(317) 257-4845
(317) 255-3764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016783A
IN
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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