Individual
SCOTT A EDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
312 CAVITT AVE, TRAFFORD, PA 15085-1065
(412) 372-5493
(412) 372-9543
Mailing address
312 CAVITT AVE, TRAFFORD, PA 15085-1065
(412) 372-5493
(412) 372-5493
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP041059L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP410571L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018255900001
—
PA
01
—
3936549
NCPDP
—
Enumeration date
11/28/2006
Last updated
03/23/2009
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