Individual
DR. CHARLES JORDAN RICHMOND I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3400 MILITARY HWY, PINEVILLE, LA 71360-4230
(318) 640-8066
Mailing address
3400 MILITARY HWY, PINEVILLE, LA 71360-4230
(318) 640-8066
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023723
LA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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