Organization
ST. CHARLES HEALTH COUNCIL, INC
Active
Other names
Stone Mountain Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM PERDUE (CEO)
(276) 546-5310
Entity
Organization
Contact information
Practice address
HIGHWAY 58, EWING, VA 24248-0159
(276) 445-4826
(276) 546-3440
Mailing address
PO BOX 159, EWING, VA 24248-0159
(276) 445-4826
(276) 546-3440
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
09/04/2007
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