Individual
CHARLES ODONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
326 E MAIN STREET, EDMORE, MI 48829-9755
(989) 427-5275
Mailing address
3149 N GRAND AVE, PIERSON, MI 49339-9408
(616) 799-0068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023181
MI
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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