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Individual

MR. CHARLES FREDERICK KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
1812 HOLLOWAY ST, DURHAM, NC 27703-2210
(919) 682-9271
(919) 688-6261
Mailing address
1812 HOLLOWAY ST, DURHAM, NC 27703-2210
(919) 682-9271
(919) 688-6261

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5711
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5711
NC LICENSE NUMBER
NC
Enumeration date
09/21/2012
Last updated
09/21/2012
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