Individual
CHARLES PATRICK CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
20 FERGUSON BLVD, DRY RIDGE, KY 41035-8635
(859) 824-5091
Mailing address
191 THOROUGHBRED LN, WALTON, KY 41094-8143
(859) 363-8388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9874
KY
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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