Individual
CHARLES BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
5670 RIDGE VIEW DR, ALEXANDRIA, VA 22310-1445
(571) 218-5410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005447
VA
183500000X
Pharmacist
PH2224
DC
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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