Individual
MR. CHARLES GREGOR FLORES DERUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1100 NINTH AVE, X8-END, SEATTLE, WA 98102
(206) 223-6627
(206) 223-2313
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PR45384
ME
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60799926
WA
Other
Enumeration date
07/22/2016
Last updated
06/15/2021
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