Individual
MS. MARY ANNE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
517 N MAIN ST, VIROQUA, WI 54665-1453
(608) 637-8405
Mailing address
517 N MAIN ST, VIROQUA, WI 54665-1453
(608) 637-8405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11706
WI
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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