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Individual

CHARLES WILLIAM EPPERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3430 E 850 N, LEBANON, IN 46052-8227
(765) 325-4054
(765) 325-2588
Mailing address
3430 E 850 N, LEBANON, IN 46052-8227
(765) 325-4054
(765) 325-2588

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.029160
IL
183500000X
Pharmacist
Primary
26091630A
IN

Other

Enumeration date
11/01/2011
Last updated
11/01/2011
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