Individual
DR. JOHN-MICHAEL CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9285 HALLS FERRY RD, JENNINGS, MO 63136-5144
(314) 867-1360
(314) 867-8027
Mailing address
4146 DETONTY ST., 3D, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020038040
MO
183500000X
Pharmacist
67387
TX
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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