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Individual

DR. EDLIN DAVID BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8328
(928) 729-8348
Mailing address
ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504
(928) 729-8328
(928) 729-8348

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006955
NM

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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