Individual
CHARLES ROWAND GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1610 N EL DORADO ST, SUITE #1, STOCKTON, CA 95204-5930
(209) 466-2381
(209) 465-1398
Mailing address
1610 N EL DORADO ST, SUITE #1, STOCKTON, CA 95204-5930
(209) 466-2381
(209) 465-1398
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25546
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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