Individual
AMANDA EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 MARLIN CT, CHICKASHA, OK 73018-5010
(843) 640-7276
Mailing address
635 MARLIN CT, CHICKASHA, OK 73018-5010
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21448
OK
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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