Provider Demographics
NPI:1861534034
Name:EDWARDS, ANN R (RPH)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:R
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:R
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:5887 HOLIDAY SHORES AVE
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-9695
Mailing Address - Country:US
Mailing Address - Phone:828-584-1827
Mailing Address - Fax:828-584-1827
Practice Address - Street 1:342 E PARKER RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5111
Practice Address - Country:US
Practice Address - Phone:828-433-5120
Practice Address - Fax:828-433-5149
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist