Individual
CHARLES PATRICK KORNOKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S WATER ST, KENT, OH 44240-3548
(330) 678-4009
Mailing address
86 E SHORE BLVD, TIMBERLAKE, OH 44095-1905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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