Individual
CAROLYN A EDGEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4404 S MERIDIAN, PUYALLUP, WA 98373-9500
(253) 770-6484
(253) 770-8967
Mailing address
9148 184TH AVE E, BONNEY LAKE, WA 98391-7600
(503) 277-3629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0009739
OR
183500000X
Pharmacist
Primary
PH00039692
WA
Other
Enumeration date
11/22/2011
Last updated
11/29/2019
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