Edwards, Tristan

Edwards, Tristan is an individual health care provider with primary practice located at 2100 Mack Blvd , Allentown PA 18103-5622. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Edwards, Tristan can be contacted via phone (484) 884-0500.

Contact Information

Primary practice address
2100 Mack Blvd Allentown PA 18103-5622
Phone: (484) 884-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP450657 Pennsylvania

Profile Details

NPI number 1891249405
LBN Legal business name Edwards, Tristan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Sep 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891249405 NPPES
Pennsylvania Other RP450657 PENNSYLVANIA PHARMACIST LICENSE NUMBER

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