Susan Edsall

NPI #1609289453 in Canton, Oklahoma

Provider Information

NPI Number: 1609289453
Entity Type: Individual
Name: Susan Edsall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 411 E OAK
City: Canton
State: Oklahoma
ZIP Code: 73724
Phone: (580) 886-4323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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