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Individual

MS. CHARLENE ALISON DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
550 S 4TH ST, COOS BAY, OR 97420-1506
(541) 269-9890
(541) 269-9240
Mailing address
550 S 4TH ST, COOS BAY, OR 97420-1506
(541) 269-9890
(541) 269-9240

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9877
OR

Other

Enumeration date
11/04/2010
Last updated
04/13/2012
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