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Individual

MR. CHARLES ALBERT EVANS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
313-327 W BALD EAGLE ST, LOCK HAVEN, PA 17745
(570) 748-1790
(570) 748-7631
Mailing address
313-327 W. BALD EAGLE STREET, LOCK HAVEN, PA 17745
(570) 748-1790
(570) 748-7631

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP036605L
PA

Other

Enumeration date
02/17/2022
Last updated
02/17/2022
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