Individual
CHARLES R. AXELTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8160
Mailing address
94344 SUNLIGHT LN, NORTH BEND, OR 97459-7740
(541) 759-3896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7890
OR
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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