Individual
JOHN WILLIAM CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
115 W JESSIE ST, RUSHFORD, MN 55971-8837
(507) 864-2153
Mailing address
PO BOX 370, RUSHFORD, MN 55971-0370
(507) 864-2153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115910-9
MN
Other
Enumeration date
07/20/2006
Last updated
11/15/2019
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