Individual
DR. CHARLES NMN JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
VA MEDICAL CENTER, HINES, IL 60141
(708) 202-8387
Mailing address
2651 MELROSE STREET, CHICAGO, IL 60018
(773) 583-3435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH009313
GA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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