Individual
CHARLES B GREENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 S WOODLAND BLVD STE 5, DELAND, FL 32720-7464
(386) 888-4912
Mailing address
224 WOODS TRL, SANFORD, FL 32771-9542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS25823
FL
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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