Individual
MR. LARRY W EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2520 VALLEY DR, POINT PLEASANT, WV 25550-2031
(304) 674-2412
Mailing address
2520 VALLEY DR, POINT PLEASANT, WV 25550-2031
(304) 674-2412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-19625
OH
183500000X
Pharmacist
Primary
RP00006832
WV
Other
Enumeration date
06/29/2013
Last updated
06/29/2013
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