Individual
MR. CHARLES BENJAMIN KOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4719 CHASTAIN DR, MELBOURNE, FL 32940-1275
(321) 259-1364
Mailing address
4719 CHASTAIN DR, MELBOURNE, FL 32940-1275
(321) 259-1364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS41097
FL
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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