Individual
JOHN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 S COLUMBIA RIVER HWY, SAINT HELENS, OR 97051-2942
(503) 397-0662
(503) 397-0753
Mailing address
795 S COLUMBIA RIVER HWY, SAINT HELENS, OR 97051-2942
(503) 397-0662
(503) 397-0753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010450
OR
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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