Individual
MR. CHARLES ALLEN DUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
660 N. MAIN, TAYLOR, AZ 85939-0919
(928) 536-2044
Mailing address
660 N. MAIN, P.O. BOX 919, TAYLOR, AZ 85939-0919
(928) 536-2044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319865
NCPDP
AZ
01
—
122862
AHCCCS ID
AZ
Enumeration date
07/13/2006
Last updated
07/08/2007
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