Individual
DR. BRENT LEE EDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
6720 NE 84TH ST, VANCOUVER, WA 98665-2016
(360) 828-2289
(360) 828-2286
Mailing address
6720 NE 84TH ST, VANCOUVER, WA 98665-2016
(360) 828-2289
(360) 828-2286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60390978
WA
183500000X
Pharmacist
RPH-0013593
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0013593
OR
Other
Enumeration date
05/11/2014
Last updated
11/18/2018
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