Individual
DR. CHARLES MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1604 W MARKET ST, BOLIVAR, TN 38008-1536
(731) 658-7181
(731) 658-7324
Mailing address
1604 W MARKET ST, BOLIVAR, TN 38008-1536
(731) 658-7181
(731) 658-7324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3272
TN
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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