Individual
DR. CHARLES JOHN MEDICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6672
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP045681L
PA
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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