Individual
CHARLES DONOVAN REDFEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7819
(928) 336-7696
Mailing address
4674 W 27TH PL, YUMA, AZ 85364-7554
(928) 341-4520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12337
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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