Dr. Jarrett Edison, PharmD
Pharmacist in Jones, OK. Individual provider (NPI-1).
NPI number1295396554
StatusActive
Last updated in NPPESFeb 5, 2022
Details
- NPI
- 1295396554
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jarrett Edison
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2019
- Certification date
- Feb 5, 2022
- Last updated
- Feb 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 16972 | OK | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 16972 | OK |
Practice location
101 W Main StJones, OK 73049-7586
Phone 316-200-0818
Mailing address
10050 E Covell RdArcadia, OK 73007
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