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Individual
MR. CHARLES ALLEN DUTCHER
Active
Individual
MR. CHARLES ALLEN DUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319865
NCPDP
AZ
01
—
122862
AHCCCS ID
AZ
Enumeration date
07/13/2006
Last updated
07/08/2007
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