Individual
CHARLES ROBERT HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13955 STATE RD, NORTH ROYALTON, OH 44133-3965
(440) 237-1745
Mailing address
1362 MATTINGLY RD, HINCKLEY, OH 44233
(330) 278-9847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120930
OH
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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