Individual
DR. CHARLES RICHARD GLESING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
130 W HIVELY AVE, ELKHART, IN 46517-2113
(574) 294-6092
(574) 294-6102
Mailing address
130 W HIVELY AVE, ELKHART, IN 46517-2113
(574) 294-6092
(574) 294-6102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028378A
IN
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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