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Individual

HYUN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
791 N KROCKS RD, COSTCO PHARMACY, ALLENTOWN, PA 18106-9046
(484) 273-7066
(484) 273-7057
Mailing address
791 N KROCKS RD, COSTCO PHARMACY, ALLENTOWN, PA 18106-9046
(484) 273-7066
(484) 273-7057

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP450635
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP450635
PHARMACIST LICENSE
PA
01
RPI010614
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
07/18/2016
Last updated
11/26/2022
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