Larry Edwards, R.PH.

NPI #1164971743 in Waupun, Wisconsin

Provider Information

NPI Number: 1164971743
Entity Type: Individual
Name: Larry Edwards, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Sep 23, 2016
Last Updated: Sep 23, 2016

Practice Location

Address: 208 S WEST ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1681
Phone: (920) 324-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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