Individual
CHARLES O SOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1900 RUDDIMAN DR, NORTH MUSKEGON, MI 49445-3148
(231) 744-4718
(231) 744-5574
Mailing address
18176 LOST CREEK LN, SPRING LAKE, MI 49456-9094
(616) 842-0906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302020598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302020598
PHARMACIST LICENSE
MI
Enumeration date
08/15/2006
Last updated
07/08/2007
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