Individual
SHAWANDA NICOLE EDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1542 US HIGHWAY 78 E, OXFORD, AL 36203-8063
(256) 832-6337
(877) 917-3056
Mailing address
1542 US HIGHWAY 78 E, OXFORD, AL 36203-8063
(256) 832-6337
(877) 917-3056
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T31050
AL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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