Individual
AMANDA ROSE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 GILBERT AVE STE 58, WESTERN SPRINGS, IL 60558-1662
(708) 246-5120
Mailing address
4700 GILBERT AVE STE 58, WESTERN SPRINGS, IL 60558-1662
(708) 246-5120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.297127
IL
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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