Provider Demographics
NPI:1548533508
Name:FRENCH, EDWARD (RPH)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:FRENCH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7717 LOCKHEED DR STE L
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-2437
Mailing Address - Country:US
Mailing Address - Phone:915-497-0218
Mailing Address - Fax:915-881-0803
Practice Address - Street 1:7717 LOCKHEED DR STE L
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-2437
Practice Address - Country:US
Practice Address - Phone:915-497-0218
Practice Address - Fax:915-881-0803
Is Sole Proprietor?:No
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX186581835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5739570001Medicare NSC