Individual
CLAYTON C. CHACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
801 4TH ST, NORTH CHARLEROI, PA 15022-2239
(724) 483-0217
(724) 565-1051
Mailing address
801 4TH ST, NORTH CHARLEROI, PA 15022-2239
(724) 483-0217
(724) 565-1051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-031427-L
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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