Individual
CHARLES FREDERICK WURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
518 HWY 331, OXFORD, MS 38655
(662) 236-2296
Mailing address
518 HIGHWAY 331, OXFORD, MS 38655-6353
(662) 236-2296
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-06687
MS
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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