Individual
DR. CHARLES L HUCKABAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3307 EVERGREEN WAY, BUILDING # 5, WASHOUGAL, WA 98671-2062
(360) 335-2006
Mailing address
5555 E EVERGREEN BLVD APT 104, VANCOUVER, WA 98661-6644
(206) 355-6236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60155812
WA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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