Individual
CHARLES PAUL PETALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
136 S SHORE DR, CTR BARNSTEAD, NH 03225-3213
(603) 776-5707
(603) 776-0213
Mailing address
136 S SHORE DR, CTR BARNSTEAD, NH 03225-3213
(603) 776-5707
(603) 776-0213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R0497
NH
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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