Individual
NANCY P EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
8720 QUIMPER PL STE 300, SHREVEPORT, LA 71105-5742
(318) 671-9603
(318) 671-1106
Mailing address
8720 QUIMPER PL STE 300, SHREVEPORT, LA 71105-5742
(318) 671-9603
(318) 671-1106
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
10103
LA
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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