Individual
CHARLES MAYNARD BEMBRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
112 E 7TH AVE, HAVANA, FL 32333-1620
(850) 539-8080
(850) 539-3050
Mailing address
2229 KEMP RD, HAVANA, FL 32333-5761
(850) 539-5387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11222
FL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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