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Lisa Edmondson

Pharmacist in Redmond, OR. Individual provider (NPI-1).

NPI number1013219682
StatusActive
Last updated in NPPESMar 7, 2016

Details

NPI
1013219682
Entity type
Individual (NPI-1)
Name
Lisa Edmondson
Sex
Female
Sole proprietor
No
Enumeration date
Dec 2, 2010
Last updated
Mar 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist9099ORYes
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist9099OR

Practice location

1705 S Highway 97
Redmond, OR 97756-9647

Phone 541-504-4166

Mailing address

1705 S Highway 97
Redmond, OR 97756-9647

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