Individual
DR. CHARLES THOMAS MOLLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1231 E BELTLINE AVE NE, MAIL STOP 1260, GRAND RAPIDS, MI 49525-4501
(616) 464-8045
(877) 974-4411
Mailing address
1231 E BELTLINE AVE NE, MAIL STOP 1260, GRAND RAPIDS, MI 49525-4501
(616) 464-8045
(877) 974-4411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051292340
IL
183500000X
Pharmacist
5302033601
MI
183500000X
Pharmacist
Primary
S15027
AZ
Other
Enumeration date
11/29/2005
Last updated
12/30/2011
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