Individual
DR. CHARLES AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-8090
Mailing address
623 PINE COVE CIR, LEESVILLE, LA 71446-8817
(267) 250-9579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18427
NC
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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