Individual
CHARLES BANCROFT VRETIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1475 OAKRIDGE RD, WEIMAR, TX 78962-3671
(979) 732-5432
Mailing address
1475 OAKRIDGE RD, WEIMAR, TX 78962-3671
(979) 732-5432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21097
TX
Other
Enumeration date
08/16/2006
Last updated
08/02/2012
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