NPI 1003190596
Dustin D Edwards, PHARMD
Practice location
- Address
- 1012 Cleveland Blvd, Caldwell, ID 83605-3852
- Phone
- (208) 455-1792
- Fax
- (208) 459-2029
- Mailing address
- 9710 W Blackpool CT, Star, ID 83669-5750
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1003190596
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Oct 2011
- Record last updated
- 3 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.