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Individual

EDITH FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-3732
Mailing address
870 BUCK SWAMP RD, BRUNSWICK, GA 31523-7014
(912) 230-9784

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH034272
GA
183500000X
Pharmacist
Primary
S026553
AZ

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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