Individual
CHARLES STANDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 HARPER RD, MCDONOUGH, GA 30252-4949
(770) 954-9511
Mailing address
518 HARPER RD, MCDONOUGH, GA 30252-4949
(770) 954-9511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015817
GA
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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