Individual
MR. CHARLES JOSEPH MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1312 MANATEE AVE EAST, BRADENTON, FL 34208
(941) 708-8520
(941) 708-8728
Mailing address
2766 ASHLAND LANE, NORTH PORT, FL 34286-4319
(941) 426-8848
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS28524
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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