Organization
CHARLES H STANTON
Active
Other names
ELKHART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STANTON RPH (OWNER)
(903) 764-2355
Entity
Organization
Contact information
Practice address
306 S US HIGHWAY 287, ELKHART, TX 75839-6726
(903) 764-2355
(903) 764-2418
Mailing address
306 S US HIGHWAY 287, ELKHART, TX 75839-6726
(903) 764-2355
(903) 764-2418
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143621
—
TX
01
—
2099001
PK
—
Enumeration date
08/18/2006
Last updated
06/17/2016
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