Individual
CHARLES MICHAEL HIGHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1930 W GRAND ST, SPRINGFIELD, MO 65802-4870
(417) 863-6416
(417) 863-1286
Mailing address
1930 W GRAND ST, SPRINGFIELD, MO 65802-4870
(417) 863-6416
(417) 863-1286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008027644
MO
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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