Individual
CHARLES COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 E STUART DR, GALAX, VA 24333-2124
(276) 236-3402
Mailing address
138 ARCHA ST, HILLSVILLE, VA 24343-1601
(276) 728-2643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004815
VA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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