Individual
COLT J EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 E BISHOP ST, BELLEFONTE, PA 16823-2319
(814) 355-1548
Mailing address
1418 21ST AVE, ALTOONA, PA 16601-3043
(814) 381-6562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP451154
PA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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