Individual
IFEYINWA CHARLES-GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
25 MAIN ST, MILLBURY, MA 01527-2003
(508) 865-0544
Mailing address
25 MAIN ST, MILLBURY, MA 01527-2003
(508) 865-0544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238540
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH238540
RPH
MA
Enumeration date
01/16/2019
Last updated
01/16/2019
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