Individual
KEVIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2955 E CLIFTON AVE, GILBERT, AZ 85295-1424
(719) 440-4955
Mailing address
2955 E CLIFTON AVE, GILBERT, AZ 85295-1424
(719) 440-4955
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
812
CA
183500000X
Pharmacist
Primary
S011465
AZ
Other
Enumeration date
08/20/2010
Last updated
10/10/2016
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