Individual
ANGELA DAWN EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2541 CHAPPEREL DR SW, OLYMPIA, WA 98512-6245
(360) 753-6656
Mailing address
2541 CHAPPEREL DR SW, OLYMPIA, WA 98512-6245
(360) 753-6656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-08844
MS
183500000X
Pharmacist
Primary
PH00057216
WA
183500000X
Pharmacist
RPH-0010130
OR
225700000X
Massage Therapist
MA 00019814
WA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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