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Individual
CHARLOTTE SOPHIA BREEDEN
Active
Individual
CHARLOTTE SOPHIA BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5392
NM
1835G0303X
Geriatric Pharmacist
5392
NM
1835P1200X
Pharmacotherapy Pharmacist
5392
NM
1835P1300X
Psychiatric Pharmacist
5392
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37101056
—
NM
Enumeration date
04/25/2007
Last updated
07/19/2016
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