Individual
DR. BREANNIE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5551 CORPORATE BLVD, STE 102, BATON ROUGE, LA 70808-2567
(225) 924-1930
Mailing address
5551 CORPORATE BLVD, STE 102, BATON ROUGE, LA 70808-2567
(225) 924-1930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020203
LA
Other
Enumeration date
09/05/2013
Last updated
02/15/2016
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