Individual
CLIFFORD LEE EDWARDS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5028 S 1ST ST, MILAN, TN 38358-3196
(731) 686-9097
Mailing address
1029 WILLOW OAK LN APT 204, JACKSON, TN 38305-3127
(615) 336-5968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4408
TN
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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