Individual
JARED THOMAS EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 MONTCLAIR RD, IRONDALE, AL 35210-2205
(205) 951-6632
Mailing address
1325 MONTCLAIR RD, IRONDALE, AL 35210-2205
(205) 951-6632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21979
AL
390200000X
Student in an Organized Health Care Education/Training Program
S12380
AL
Other
Enumeration date
01/17/2019
Last updated
07/21/2021
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