Organization
CHARLES PHARMACY, LLC.
Active
Other names
Charles Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE CHARLES PHARMD (PHARMACY MANAGER)
(617) 306-6545
Entity
Organization
Contact information
Practice address
5081 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4533
(561) 507-5300
Mailing address
9208 NUGENT TRL, WEST PALM BEACH, FL 33411-6325
(617) 306-6545
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011950100
—
FL
01
—
2145426
PK
—
01
—
IC075A
MEDICARE PTAN
FL
Enumeration date
04/25/2014
Last updated
06/04/2015
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