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Individual

DANIEL EDGAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
201 SW 20TH ST STE 1, PENDLETON, OR 97801-1864
(541) 278-4285
(541) 278-4288
Mailing address
PO BOX 1896, PENDLETON, OR 97801-0947
(775) 343-8737

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019507
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0019507
OR

Other

Enumeration date
03/31/2022
Last updated
12/09/2024
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