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Individual

CHARLES RYAN STALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3093 CLEVELAND AVE, COLUMBUS, OH 43224-3684
(614) 263-7551
Mailing address
944 SHAULA DR, COLUMBUS, OH 43240-2160
(937) 418-5894

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03228051
OH

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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