Organization
CHARLIE'S PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MARCELLUS LARBIE (PHARMACIST IN CHARGE)
(214) 528-7133
Entity
Organization
Contact information
Practice address
9528 WEBB CHAPEL RD, SUITE # 110, DALLAS, TX 75220-4938
(214) 528-7133
(214) 528-7134
Mailing address
9528 WEBB CHAPEL ROAD, SUITE # 110, DALLAS, TX 75220-4938
(214) 528-7133
(214) 528-7134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145251
—
TX
Enumeration date
02/07/2007
Last updated
02/17/2011
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