Individual
MR. CHARLES WILLIAM HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
13894 NORTHLINE RD, SOUTHGATE, MI 48195-1803
(734) 285-9496
(734) 285-9498
Mailing address
13894 NORTHLINE RD, SOUTHGATE, MI 48195-1803
(734) 285-9496
(734) 285-9498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022617
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302022617
PHARMACIST LICENSE NUMBER
MI
Enumeration date
10/13/2006
Last updated
07/08/2007
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