Individual
MR. CHARLES WILLIAM PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
441 N KIRKWOOD RD, KIRKWOOD, MO 63122-3911
(314) 965-7944
(314) 909-7121
Mailing address
1106 BARKWOOD TRAIL CT, FENTON, MO 63026-3794
(314) 600-1534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041510
MO
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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