Individual
MR. JOHN DAVID EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2448 US HIGHWAY 60 E, HENDERSON, KY 42420-2509
(270) 826-5589
Mailing address
2448 US HIGHWAY 60 E, HENDERSON, KY 42420-2509
(270) 826-5589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8943
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8943
PHARMACY LICENSE
KY
Enumeration date
08/15/2006
Last updated
07/08/2007
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