Individual
DR. SUSAN V EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.PH; PHARM.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
PO BOX 4266, JACKSON, MS 39296-4266
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R2110
MS
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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