Individual
MR. CHARLES MATTHEW EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1955 COWELL BLVD, DAVIS, CA 95618-6325
(916) 480-6718
Mailing address
1955 COWELL BLVD, DAVIS, CA 95618-6325
(916) 480-6718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58551
CA
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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