Individual
MR. CHARLES PHILLIP CALLIHAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3380 TRICKUM RD, BLDG. 500, 104, WOODSTOCK, GA 30188-3680
(678) 236-0403
(678) 236-0415
Mailing address
3380 TRICKUM RD, BLDG. 500, 104, WOODSTOCK, GA 30188-3680
(678) 236-0403
(678) 236-0415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12380
GA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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