Individual
DR. DUSTIN TODD EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4923 RAEFORD RD, FAYETTEVILLE, NC 28304-3141
(910) 423-1251
Mailing address
2336 CLEVELAND AVE, FAYETTEVILLE, NC 28312-9203
(910) 624-2978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21077
NC
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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