Individual
SUSAN EDSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E OAK, CANTON, OK 73724
(580) 886-4323
(580) 886-2652
Mailing address
PO BOX 811, CANTON, OK 73724-0811
(580) 886-4323
(580) 886-2652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11930
OK
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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