Individual
CHARLES DEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
PHS INDIAN HOSPITAL, 607 INDIAN HEALTH ROAD, PINE RIDGE, SD 57770
(605) 867-3192
Mailing address
PHS INDIAN HOSPITAL, 607 INDIAN HEALTH ROAD, PINE RIDGE, SD 57770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023068
CO
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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