Individual
MR. CHARLES EDWARD CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11 S FORKS AVE, FORKS, WA 98331-9006
(360) 374-2294
(360) 374-5057
Mailing address
192 VALLEY VIEW DR, FORKS, WA 98331-9600
(360) 374-2434
(360) 374-5057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00021028
WA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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