Provider Demographics
NPI:1558630970
Name:EDMONDSON, CLAUDIA SMITH (PHARMD, MSCR, RPH)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:SMITH
Last Name:EDMONDSON
Suffix:
Gender:F
Credentials:PHARMD, MSCR, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3578 ELMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8222
Mailing Address - Country:US
Mailing Address - Phone:252-578-0232
Mailing Address - Fax:
Practice Address - Street 1:1601 FOREST HILLS RD W
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3408
Practice Address - Country:US
Practice Address - Phone:252-243-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist