Individual
DR. CHANCELLOR THOMAS CHARETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., RPH
Contact information
Practice address
101 G ST, SAN DIEGO, CA 92101-6833
(619) 237-7660
(619) 237-7670
Mailing address
101 G ST, SAN DIEGO, CA 92101-6833
(619) 237-7660
(619) 237-7670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03232555
OH
183500000X
Pharmacist
76369
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
76369
CA
Other
Enumeration date
07/30/2013
Last updated
10/14/2020
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