Individual
DR. CHARLES MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 E 3RD ST, ALLIANCE, NE 69301-3832
(308) 762-1258
(308) 762-2126
Mailing address
2026 E 32ND ST, SCOTTSBLUFF, NE 69361-1872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16186
NE
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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