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Individual

CHARLES EDWARD COGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PD

Contact information

Practice address
104 NORTH HARRIS ST., HUNTSVILLE, AR 72740-0070
(479) 738-6725
(479) 738-6725
Mailing address
104 NORTH HARRIS STREET, HUNTSVILLE, AR 72740-0070
(479) 738-6725
(479) 738-6725

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD05240
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0403674
NABP
Enumeration date
02/23/2007
Last updated
07/08/2007
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