Individual
NELSON SCOTT EDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 931-2033
Mailing address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 931-2033
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13394
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13394
STATE LICENSE
OK
Enumeration date
02/13/2019
Last updated
02/13/2019
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