Individual
KEITH EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1512 S MAIN ST, FALL RIVER, MA 02724-2606
(508) 674-0255
Mailing address
5 ROGUE DR, WESTPORT, MA 02790-4365
(774) 955-7109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240426
MA
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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