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Individual

MRS. CHARRIE REGOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8664
Mailing address
8705 WITHERSFIELD CT, SPRINGBORO, OH 45066-9657

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03216962
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03216962
PHARMACIST
OH
Enumeration date
01/11/2016
Last updated
01/11/2016
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