Individual
MR. CHARLES E IGBODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
50 3RD AVE, NEW YORK, NY 10003-5529
(212) 388-0340
(212) 505-3724
Mailing address
180 16 WEXFORD TER, APT #3D, JAMAICA, NY 11432-0000
(917) 612-5651
(212) 505-3724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39170
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39170
NY PHARMACIST LICENCE
NY
Enumeration date
11/22/2010
Last updated
11/22/2010
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