Individual
CHARLES MICHAEL DELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
860 A1A N, PONTE VEDRA, FL 32082-3212
(904) 543-0762
(904) 280-9852
Mailing address
860 A1A N, PONTE VEDRA, FL 32082-3212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS45325
FL
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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