Individual
ELAINE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1470 RIVA RDG, GODFREY, IL 62035-4328
(618) 466-8973
(618) 466-8994
Mailing address
1470 RIVA RDG, GODFREY, IL 62035-4328
(618) 466-8973
(618) 466-8994
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-036661
IL
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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