Individual
CHARLES PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
99 S CANAAN RD, CANAAN, CT 06018-2502
(860) 824-3822
(860) 824-4147
Mailing address
99 S CANAAN RD, CANAAN, CT 06018-2502
(860) 824-3822
(860) 824-4147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8010
CT
1835G0303X
Geriatric Pharmacist
8010
CT
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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