Individual
CHARLIE W. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
(910) 592-3121
Mailing address
408 NORTHEAST BLVD, CLINTON, NC 28328-2434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20448
NC
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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