Individual
CHARLES ALEXANDER PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 E UNIVERSITY BLVD STE 101, TUCSON, AZ 85719-5046
(520) 624-4519
Mailing address
825 E UNIVERSITY BLVD STE 101, TUCSON, AZ 85719-5046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025394
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S025394
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
10/21/2021
Last updated
10/21/2021
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