Individual
MR. CHARLES DERRIS HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1540 MAIN ST, SAFEWAY PHARMACY, SWEET HOME, OR 97386-1614
(541) 367-0675
(541) 367-0678
Mailing address
1540 MAIN ST, SAFEWAY PHARMACY, SWEET HOME, OR 97386
(541) 367-0675
(541) 367-0678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8111
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
08111
OR
Other
Enumeration date
12/01/2008
Last updated
03/17/2016
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